Provider Demographics
NPI:1639623606
Name:NEWTON, MICHAELA JOY (RBT, LABA)
Entity Type:Individual
Prefix:MISS
First Name:MICHAELA
Middle Name:JOY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RBT, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 S ASH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4169
Mailing Address - Country:US
Mailing Address - Phone:509-846-5776
Mailing Address - Fax:
Practice Address - Street 1:950 S ASH ST
Practice Address - Street 2:APT #204
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4136
Practice Address - Country:US
Practice Address - Phone:509-846-5776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG 60688138106S00000X
WAAB61143147106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician