Individual
AMANDA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10508 275TH AVE NW, ZIMMERMAN, MN 55398-4377
(218) 410-1486
Mailing address
10508 275TH AVE NW, ZIMMERMAN, MN 55398-4377
(218) 410-1486
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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