Shavonne Newsome

NPI #1770238420 in Farmers Branch, Texas

Provider Information

NPI Number: 1770238420
Entity Type: Individual
Name: Shavonne Newsome
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 21, 2022
Last Updated: Feb 21, 2022

Practice Location

Address: 1801 ROYAL LN STE 300
City: Farmers Branch
State: Texas
ZIP Code: 75229-3179
Phone: (888) 754-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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