Provider Demographics
NPI:1770191108
Name:KNAPP, KALEY
Entity Type:Individual
Prefix:
First Name:KALEY
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD
Mailing Address - Street 2:STE 3070
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:FL
Mailing Address - Zip Code:34475-2108
Mailing Address - Country:US
Mailing Address - Phone:352-358-3700
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:3491 GANDY PARK
Practice Address - Street 2:SUITE 100
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781
Practice Address - Country:US
Practice Address - Phone:727-390-2211
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician