Provider Demographics
NPI:1154149003
Name:CAYOWET, VERNETTE MICAH BOADO
Entity type:Individual
Prefix:
First Name:VERNETTE MICAH
Middle Name:BOADO
Last Name:CAYOWET
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 1:5901 WOODGLADE AVE
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-1672
Mailing Address - Country:US
Mailing Address - Phone:209-261-3292
Mailing Address - Fax:
Practice Address - Street 1:1651 RESPONSE RD STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-5255
Practice Address - Country:US
Practice Address - Phone:916-518-3187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician