Provider Demographics
NPI:1821524240
Name:NEWTON, SHERRI MAY (BCBA)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:MAY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5556 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-2658
Mailing Address - Country:US
Mailing Address - Phone:317-334-7331
Mailing Address - Fax:
Practice Address - Street 1:322 DUPONT DR
Practice Address - Street 2:SUITE C
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-1723
Practice Address - Country:US
Practice Address - Phone:812-375-0625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0-17-7642106E00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst