Individual
CAROLYN NEWTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
9620 CHESAPEAKE DR STE 205, SAN DIEGO, CA 92123-1324
(760) 696-0641
Mailing address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
(714) 823-1430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36789
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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