Shane Knoll

NPI #1023471976 in Santa Fe, New Mexico

Provider Information

NPI Number: 1023471976
Entity Type: Individual
Name: Shane Knoll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 29, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 2892 PUEBLO BONITO
City: Santa Fe
State: New Mexico
ZIP Code: 87507-2549
Phone: (508) 665-8044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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