Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003293200 |
---|---|
Provider Name | Jennifer Knight |
First Address | Atlanta, GA 30346-2204 |
Second Address | Atlanta, GA 30346-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2015 |
Last Update Date | 27/04/2015 |