Individual
CHEYENNE MARZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12164 TECH RD, SILVER SPRING, MD 20904-1914
(240) 913-6383
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82030
CO
106E00000X
Assistant Behavior Analyst
0-2213615
CO
Other
Enumeration date
04/29/2024
Last updated
07/10/2025
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