MEDICARE: ZOE KNIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-21-57190	MD

General Provider Information

NPI Number	:	1760249858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE KNIGHT

Provider Business Mailing Address
First Line	:	1746 WILLOW SPRINGS DR
Second Line	:
City	:	SYKESVILLE
State	:	MD
Zip	:	21784-5600
Country	:	US
Telephone Number	:	667-441-4805
Fax Number	:

Provider Business Practice Location Address
First Line	:	1746 WILLOW SPRINGS DR
Second Line	:
City	:	SYKESVILLE
State	:	MD
Zip	:	21784-5600
Country	:	US
Telephone Number	:	667-441-4805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	03/12/2026

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