Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 12040789 | CA |
NPI | 1003442054 |
---|---|
Provider Name | Megan Elizabeth Knapp |
First Address | Stuart, FL 34997-7462 |
Second Address | Westminster, CA 92683-2939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2020 |
Last Update Date | 07/12/2020 |