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General NPI Number Information
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NPI Number | 1669214086
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Entity Type | Individual
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Provider Name | CHEYENNE LYNN MILLETT M.S., BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 19111 WALDEN FOREST DR
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City | ATASCOCITA
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State | TX
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Zip | 77346-6010
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Country | US
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Telephone | 281-560-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 15914 TRUSS CT
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City | CROSBY
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State | TX
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Zip | 77532-1820
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Country | US
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Telephone | 860-748-5569
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-73309
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License Number State | TX
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