Individual
ALISA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Mailing address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66028
GA
103K00000X
Behavior Analyst
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Other
Enumeration date
06/05/2023
Last updated
02/06/2025
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