Individual
CARLY NICOLE KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1119 OLD HUMBOLDT RD, JACKSON, TN 38305-1752
(901) 443-9146
Mailing address
205 CONSTELLATION CIR, JACKSON, TN 38305-6670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2021
Last updated
05/26/2022
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