Kizmet Elsa Knox

NPI #1376390385 in Ellenwood, Georgia

Provider Information

NPI Number: 1376390385
Entity Type: Individual
Name: Kizmet Elsa Knox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 3630 WINDMILL RD
City: Ellenwood
State: Georgia
ZIP Code: 30294-2102
Phone: (470) 546-6381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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