Justin Ray Cheatwood

NPI #1063247245 in Anoka, Minnesota

Provider Information

NPI Number: 1063247245
Entity Type: Individual
Name: Justin Ray Cheatwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 5, 2024
Last Updated: Sep 5, 2024

Practice Location

Address: 3401 ROUND LAKE BLVD NW
City: Anoka
State: Minnesota
ZIP Code: 55303-3315
Phone: (612) 509-7113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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