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NPI Code Detail

MEDICARE: MS. QUINARA SHYENNE NEWSON

MEDICARE: MS. QUINARA SHYENNE NEWSON
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
1106S00000XBehavior Technician874127GA

General Provider Information

NPI Number : 1659138352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. QUINARA SHYENNE NEWSON
Provider Business Mailing Address
First Line : 2600 BENTLEY RD SE APT 407
Second Line :
City : MARIETTA
State : GA
Zip : 30067-3207
Country : US
Telephone Number : 470-435-1771
Fax Number :
Provider Business Practice Location Address
First Line : 3190 NORTHEAST EXPY NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5323
Country : US
Telephone Number : 866-738-1182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2024
Last Update Date : 02/29/2024

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Directions to “ MS. QUINARA SHYENNE NEWSON ” Practice Location

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