IndividualActive
Blake Newsom
NPI 1366270704 · Behavior Technician · Antioch, TN
Provider details
- NPI number
- 1366270704
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1211 Bell Rd Apt 65
Antioch, TN 37013-3715
Phone: (931) 575-8200
Approximate (ZIP-level) locationGet directions
Mailing address
1211 Bell Rd Apt 65
Antioch, TN 37013-3715
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.