Provider Demographics
NPI:1881488278
Name:CHEA, DEVYNEE CHENTEEDA
Entity type:Individual
Prefix:
First Name:DEVYNEE
Middle Name:CHENTEEDA
Last Name:CHEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 S LAKE ST APT 206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2130
Mailing Address - Country:US
Mailing Address - Phone:209-986-9042
Mailing Address - Fax:
Practice Address - Street 1:228 S LAKE ST APT 206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2130
Practice Address - Country:US
Practice Address - Phone:209-986-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician