Provider Demographics
NPI:1447746599
Name:NEWFIELD, CHARLES LOUIS (PHD BCBA)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:LOUIS
Last Name:NEWFIELD
Suffix:
Gender:M
Credentials:PHD BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2806
Mailing Address - Country:US
Mailing Address - Phone:508-473-3422
Mailing Address - Fax:508-478-0615
Practice Address - Street 1:300 E MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2806
Practice Address - Country:US
Practice Address - Phone:774-217-0967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000296103K00000X
CT002111103T00000X
MA1768103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst