Blake Ryan Newsom
Blake Ryan Newsom is a Behavior Technician in Antioch, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2024
Practice location Address checks out
1211 Bell Rd Apt 65Antioch, TN 37013-3715
Phone: (931) 575-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (TN) |
|---|
Record details
| NPI number | 1366270704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2024 |
| Last updated in NPPES | July 25, 2024 |
| Certification date | July 25, 2024 |
| Mailing address | 1211 Bell Rd Apt 65, Antioch, TN 37013-3715 |
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