Knox, Stephanie

Knox, Stephanie is an sole proprietor health care provider with primary practice located at 505 Heatherdown Way , Riverdale GA 30274-3592. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Knox, Stephanie can be contacted via phone (404) 565-6029.

Contact Information

Primary practice address
505 Heatherdown Way Riverdale GA 30274-3592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 01-14-17610 Georgia

Profile Details

NPI number 1497116834
LBN Legal business name Knox, Stephanie
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2016
Last updated Mar 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497116834 NPPES
Georgia Other 13604699 CAQH

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