Provider Demographics
NPI:1972895076
Name:KNAPP, ALBERT ADAM JR (PSYD, LP, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ADAM
Last Name:KNAPP
Suffix:JR
Gender:M
Credentials:PSYD, LP, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 N SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 286
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-2725
Mailing Address - Country:US
Mailing Address - Phone:310-210-2779
Mailing Address - Fax:
Practice Address - Street 1:1444 AVIATION BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-4001
Practice Address - Country:US
Practice Address - Phone:310-210-2779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-07
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-08-4806103K00000X
CA25873103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst