Provider Demographics
NPI:1306234653
Name:THE KNAPP CENTER FOR CHILDHOOD DEVELOPMENT
Entity type:Organization
Organization Name:THE KNAPP CENTER FOR CHILDHOOD DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:330-306-8487
Mailing Address - Street 1:1516 GREENSLEAVE CIR
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2875
Mailing Address - Country:US
Mailing Address - Phone:220-306-8487
Mailing Address - Fax:
Practice Address - Street 1:950 WINDHAM CT STE 4
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5083
Practice Address - Country:US
Practice Address - Phone:330-306-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1106833251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health