Provider Demographics
NPI:1407108152
Name:KNIGHT, SHARMAN MARIE (BS)
Entity Type:Individual
Prefix:
First Name:SHARMAN
Middle Name:MARIE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2470 SAINT ROSE PKWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7772
Mailing Address - Country:US
Mailing Address - Phone:702-778-3527
Mailing Address - Fax:702-778-3016
Practice Address - Street 1:2470 SAINT ROSE PKWY
Practice Address - Street 2:SUITE 304
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7772
Practice Address - Country:US
Practice Address - Phone:702-778-3527
Practice Address - Fax:702-778-3016
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst