Carly Nicole Knight, BCBA
Behavior Analyst in Jackson, TN. Individual provider (NPI-1).
NPI number1790440352
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1790440352
- Entity type
- Individual (NPI-1)
- Name
- Carly Nicole Knight
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2021
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1119 Old Humboldt RdJackson, TN 38305-1752
Phone 901-443-9146
Mailing address
205 Constellation CirJackson, TN 38305-6670
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