Provider Demographics
NPI:1326614561
Name:KNIGHT, KAMEITRI LEAHN
Entity type:Individual
Prefix:MRS
First Name:KAMEITRI
Middle Name:LEAHN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAMEITRI
Other - Middle Name:LEAHN
Other - Last Name:SAXE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 CLEMENTS BRIDGE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1812
Mailing Address - Country:US
Mailing Address - Phone:856-617-0486
Mailing Address - Fax:
Practice Address - Street 1:500 CLEMENTS BRIDGE RD STE 2
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1812
Practice Address - Country:US
Practice Address - Phone:856-617-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-24-74598103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst