Cheyenne Allen

Individual provider Active NPI Behavior Technician · Pinellas Park, FL

NPI 1447971973 · NPPES record last updated Sep 2, 2022

Key facts

NPI
1447971973
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3491 Gandy Park
Suite 100
Pinellas Park, FL 33781-2656
Phone
(727) 390-2211
Fax
(317) 520-8200
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3491 Gandy Park
Suite 100
Pinellas Park, FL 33781-2656

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in Pinellas Park, FL

All providers in Pinellas Park, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.