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NPI Code Detail

MEDICARE: CHEYENNE NICOLE JANES

MEDICARE: CHEYENNE NICOLE JANES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1730999459
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYENNE NICOLE JANES
Provider Business Mailing Address
First Line : 3601 E 11 MILE RD STE C
Second Line :
City : WARREN
State : MI
Zip : 48092-2878
Country : US
Telephone Number : 586-250-2271
Fax Number : 248-403-8506
Provider Business Practice Location Address
First Line : 3601 E 11 MILE RD STE C
Second Line :
City : WARREN
State : MI
Zip : 48092-2878
Country : US
Telephone Number : 586-250-2271
Fax Number : 248-403-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 03/16/2026

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Directions to “ CHEYENNE NICOLE JANES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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