Individual
CHEYENNE MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
6565 AMERICAS PKWY NE STE 200, ALBUQUERQUE, NM 87110-8172
(866) 273-2451
Mailing address
100 BROADWAY BLVD NE APT 207, ALBUQUERQUE, NM 87102-3433
(505) 610-1266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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