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Individual

MICKELLE CHEEVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1507 S 180 E, PROVO, UT 84606-5570
(801) 426-6661
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47396
TX
106S00000X
Behavior Technician

Other

Enumeration date
11/27/2018
Last updated
06/08/2021
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