Lillie Newsome
Behavior Technician in Tavares, FL. Individual provider (NPI-1).
NPI number1982302246
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1982302246
- Entity type
- Individual (NPI-1)
- Name
- Lillie Newsome
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2023
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1936 Salk AveTavares, FL 32778-4310
Phone 813-438-6796
Mailing address
1202 Tech Blvd Ste 103Tampa, FL 33619-7863
Phone 813-438-6796
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All 48 Behavior Technician providers in Tavares · All 887 providers in Tavares
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