Individual
JENILEE BEATRICE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
18301 N 79TH AVE STE 101, GLENDALE, AZ 85308-8463
(623) 230-4080
Mailing address
4601 S BALSAM WAY APT 1115, LITTLETON, CO 80123-5401
(303) 304-4616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-56961
—
103K00000X
Behavior Analyst
Primary
BEH-000964
AZ
Other
Enumeration date
12/05/2017
Last updated
04/19/2022
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