Provider Demographics
NPI:1083313514
Name:MCKNIGHT, ROBIN LYNN KLIMPEL (BCBA, LBA, LPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN KLIMPEL
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:BCBA, LBA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 S MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:DIBOLL
Mailing Address - State:TX
Mailing Address - Zip Code:75941-2805
Mailing Address - Country:US
Mailing Address - Phone:936-671-2061
Mailing Address - Fax:
Practice Address - Street 1:914 S MEADOWS DR
Practice Address - Street 2:
Practice Address - City:DIBOLL
Practice Address - State:TX
Practice Address - Zip Code:75941-2805
Practice Address - Country:US
Practice Address - Phone:936-671-2061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1288103K00000X
TX14825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health