Individual
AUTUMN KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 CHARLESTOWN ROAD, NEW ALBANY, IN 47150
(930) 204-2414
Mailing address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(317) 502-3512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
11/05/2025
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