Most Relevant Information
Provider Data
| NPI Number: | 1003508722 |
| Provider Name: | KANDASHA NEWBY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2023 |
| Last Updated: | 05/22/2023 |
Provider Practice Location
1110 13TH ST STE D
COLUMBUS
GA
319012246
Practice Location Phone/Fax
| Phone: | 7067801704 |
| Fax: |
Provider Mailing Location
1309 GATEWOOD DR APT 1910
AUBURN
AL
368302839
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |