Provider Demographics
NPI:1962019018
Name:THERAPEUTICS WITH MELISSA KNOPP LLC
Entity Type:Organization
Organization Name:THERAPEUTICS WITH MELISSA KNOPP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:KNOPP
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:201-819-1499
Mailing Address - Street 1:3917 N MERIDIAN AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3828
Mailing Address - Country:US
Mailing Address - Phone:201-819-1499
Mailing Address - Fax:
Practice Address - Street 1:3917 N MERIDIAN AVE APT 102
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3828
Practice Address - Country:US
Practice Address - Phone:201-819-1499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty