MEDICARE: ANNE ABIGAIL NEWTON M.ED, BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	8982	TX

General Provider Information

NPI Number	:	1285505057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE ABIGAIL NEWTON M.ED, BCBA, LBA

Provider Business Mailing Address
First Line	:	11551 FOREST CENTRAL DRIVE
Second Line	:	SUITE 129
City	:	DALLAS
State	:	TX
Zip	:	75243
Country	:	US
Telephone Number	:	214-802-4460
Fax Number	:	214-583-2361

Provider Business Practice Location Address
First Line	:	11551 FOREST CENTRAL DRIVE
Second Line	:	SUITE 129
City	:	DALLAS
State	:	TX
Zip	:	75243
Country	:	US
Telephone Number	:	214-802-4460
Fax Number	:	214-583-2361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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