Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 004-ABA | SD |
NPI | 1003328121 |
---|---|
Provider Name | Darcie Knight |
First Address | Sioux Falls, SD 57105-2446 |
Second Address | Sioux Falls, SD 57105-2446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 30/10/2017 |