Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Cheyenne Cousineau

Individual provider Behavior Technician · NPI 1760220412

Willow Cheyenne Cousineau is a Behavior Technician in Evans, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

2550 Trade Center Dr Ste G
Evans, GA 30809-6167
Phone: (706) 723-8458
Fax: (706) 842-5340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-362187 (GA)

Record details

NPI number1760220412
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address3840 Karleen Rd, Hephzibah, GA 30815-5714

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