Individual provider Active NPI

Theresa Newton

  • Behavior Analyst
  • Papillion, NE
National Provider Identifier
1104255819
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271
Phone
(402) 680-3088
Fax
(402) 403-5857
NPI assigned
Nov 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NE Primary

Addresses

Primary practice location

11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271

Mailing address

11446 Valley Ridge Dr Ste 117
Papillion, NE 68046-6271
Phone (402) 916-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Childhood Autism Services Inc Behavior Analyst CurrentSince Nov 12, 2023 Accepting new patients

Locations

11412 Centennial Rd
Ste 100200
La Vista, NE 68128

9412 Giles Rd
Ste 101
La Vista, NE 68128
Phone (402) 421-1182

8720 S 114th St
Ste 80
La Vista, NE 68128

945 N Adams St
Ste 7
Papillion, NE 68046

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1104255819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 VALLEY RIDGE DR STE 117",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466271",
            "telephone_number": "402-916-4539",
            "fax_number": "402-403-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 VALLEY RIDGE DR STE 117",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466271",
            "telephone_number": "402-680-3088",
            "fax_number": "402-403-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.