Provider Demographics
NPI:1619738978
Name:NEWLAND, ABIGAIL (RBT)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:NEWLAND
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 1:108 FEATHERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5697
Mailing Address - Country:US
Mailing Address - Phone:478-313-5093
Mailing Address - Fax:
Practice Address - Street 1:108 FEATHERSTONE DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5697
Practice Address - Country:US
Practice Address - Phone:478-313-5093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician