Individual
REBECCA LYNN NEWENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
11601 MAPLEWOOD PL, CEDAR LAKE, IN 46303-0597
(708) 269-3641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BACB499958
—
IN
Enumeration date
06/13/2022
Last updated
07/06/2023
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