Individual
AUDRIA NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(912) 244-3305
Mailing address
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322-4146
(912) 244-3305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/28/2023
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