Provider Demographics
NPI:1871255141
Name:FOX, CHRISTOPHER MCKNIGHT
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MCKNIGHT
Last Name:FOX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6893
Mailing Address - Country:US
Mailing Address - Phone:901-461-5391
Mailing Address - Fax:
Practice Address - Street 1:2020 MEADOWVIEW PKWY STE 110
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-7388
Practice Address - Country:US
Practice Address - Phone:423-375-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TN1194103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician