Blake Ryan Newsom

NPI #1366270704 in Antioch, Tennessee

Provider Information

NPI Number
1366270704
Entity Type
Individual
Name
Blake Ryan Newsom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jul 25, 2024
Last Updated
Jul 25, 2024

Practice Location

Address
1211 BELL RD APT 65
ZIP Code
37013-3715
Phone
(931) 575-8200

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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