Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE RYAN NEWSOM
Active Sole ProprietorBLAKE RYAN NEWSOM is a Behavior Technician healthcare provider located in ANTIOCH, Tennessee. NPI 1366270704 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · ANTIOCH, TN
Registration Details
- NPI Number
- 1366270704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2024 (2.0730684968712 yrs)
- Last Updated
- Jul 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1211 BELL RD APT 65ANTIOCH, TN, 370133715Browse TN providers · Browse ZIP 37013
- Phone
- 9315758200
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in ANTIOCH, TN
| Name | Credential | NPI |
|---|---|---|
| PATSY MICHELLE ROBINSON | BEHAVIOR TECHNICIAN | 1164190336 |
| MARKIA BROWN | — | 1942981857 |
| BUBA JAWARA | — | 1235960766 |
| JOYVON DICKERSON | — | 1710711486 |
| AYANA D COUSIN | — | 1689408114 |
| DESMOND DEWAYNE BUSH | — | 1801622329 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.