Individual
MS. CHEYENNE NICOLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA SOCIOLOGY
Contact information
Practice address
6655 W SAHARA AVE, STE D110, LAS VEGAS, NV 89146-0842
(702) 365-0600
(702) 365-0602
Mailing address
6765 TULIP FALLS DR, UNIT 2056, HENDERSON, NV 89011-5016
(801) 829-1092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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