Provider Demographics
NPI:1639906555
Name:KNIGHT, KERRI J (RBT)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:J
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7791 SOUTH LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-8710
Mailing Address - Country:US
Mailing Address - Phone:720-244-6782
Mailing Address - Fax:
Practice Address - Street 1:7791 SOUTH LN
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-8710
Practice Address - Country:US
Practice Address - Phone:720-244-6782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician