Healthcare Provider Details

I. General information

NPI: 1558286971
Provider Name (Legal Business Name): SUSAN KNOX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W STIGER ST
HACKETTSTOWN NJ
07840-1280
US

IV. Provider business mailing address

300 RICHARD MINE RD
WHARTON NJ
07885-1802
US

V. Phone/Fax

Practice location:
  • Phone: 908-798-2085
  • Fax:
Mailing address:
  • Phone: 862-222-2276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: