Provider Demographics
NPI:1639949571
Name:KNOX, JEANNE MEGAN (RBT BEHAVIOR HEALTH)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:MEGAN
Last Name:KNOX
Suffix:
Gender:F
Credentials:RBT BEHAVIOR HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:855-583-2672
Mailing Address - Fax:
Practice Address - Street 1:9720 S DARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4928
Practice Address - Country:US
Practice Address - Phone:918-645-0751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKBACB772245106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician