Individual
MARY KAY KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 GRAND AVE, WESTERN SPRINGS, IL 60558-1838
(715) 497-4416
Mailing address
7227 N PAULINA ST, UNIT 3, CHICAGO, IL 60626-2505
(650) 224-4783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2016
Last updated
02/28/2016
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