Most Relevant Information
Provider Data
| NPI Number: | 1003665670 |
| Provider Name: | CHEYENNE NICOLE CANTRELLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 05/16/2024 |
Provider Practice Location
301 N SIDNEY AVE
RUSSELLVILLE
AR
728014383
Practice Location Phone/Fax
| Phone: | 4798905494 |
| Fax: | 4794989665 |
Provider Mailing Location
301 N SIDNEY AVE
RUSSELLVILLE
AR
728014383
Provider Mailing Phone/Fax
| Phone: | 4798905494 |
| Fax: | 4794989665 |