Individual
JONAH JOHN NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 CHERI WHITLOCK DR, SILOAM SPRINGS, AR 72761-9100
(479) 524-2456
(479) 373-1129
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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