Provider Demographics
NPI:1417517699
Name:KNAPP, LINDSAY M (BCBA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 LONDON RD
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-2728
Mailing Address - Country:US
Mailing Address - Phone:507-353-3083
Mailing Address - Fax:
Practice Address - Street 1:465 WINN WAY STE 140
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1722
Practice Address - Country:US
Practice Address - Phone:470-403-2830
Practice Address - Fax:470-427-5560
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1019-140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst