Provider Demographics
NPI:1386225449
Name:NEWSOME, TRENAY ANN (RBT)
Entity Type:Individual
Prefix:
First Name:TRENAY
Middle Name:ANN
Last Name:NEWSOME
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 FARNAM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1880
Mailing Address - Country:US
Mailing Address - Phone:402-432-0377
Mailing Address - Fax:
Practice Address - Street 1:1299 FARNAM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1880
Practice Address - Country:US
Practice Address - Phone:402-432-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NERBT-21-164687103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst