Individual
KOMONIQUE LATRELL KNIGHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 ROYAL ST, BATON ROUGE, LA 70802-6433
(225) 529-3890
Mailing address
3522 WARREN DR, BATON ROUGE, LA 70814-4060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2021
Last updated
11/28/2022
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