Provider Demographics
NPI:1659982627
Name:HARVEY, CHEYENNE (RBT)
Entity Type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MILLARD FARMER IND BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-3168
Mailing Address - Country:US
Mailing Address - Phone:470-400-3177
Mailing Address - Fax:904-538-0714
Practice Address - Street 1:225 MILLARD FARMER IND BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-3168
Practice Address - Country:US
Practice Address - Phone:470-400-3177
Practice Address - Fax:904-538-0714
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-20-131607103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst