Provider Demographics
NPI:1134870801
Name:KNOBE, ABIGAIL
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:KNOBE
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 1:217 OLD BRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8495
Mailing Address - Country:US
Mailing Address - Phone:843-214-6827
Mailing Address - Fax:
Practice Address - Street 1:217 OLD BRIDGE LN
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8495
Practice Address - Country:US
Practice Address - Phone:843-214-6827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst