Individual
TRACY YOUNG NEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5207 LILA WOOD CIR, CHARLOTTE, NC 28209-5537
(704) 650-6333
Mailing address
1303 HILLSHIRE MEADOW DR, MATTHEWS, NC 28105-5294
(704) 650-3333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10026
BEHAVIOR ANALYST CERTIFICATION BOARD
NC
Enumeration date
05/29/2012
Last updated
12/18/2023
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