Healthcare Provider Details

I. General information

NPI: 1649196924
Provider Name (Legal Business Name): AMINAH MCKNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 WEST FAIRMONT AVENUE
SAVANNAH GA
31406
US

IV. Provider business mailing address

505 HARRIS TRAIL RD APT 29A
RICHMOND HILL GA
31324-4253
US

V. Phone/Fax

Practice location:
  • Phone: 912-221-5250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: