Most Relevant Information
Provider Data
| NPI Number: | 1003663725 |
| Provider Name: | JILLIAN KNOX |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1895 |
Most Important Dates
| Enumeration Date: | 05/01/2024 |
| Last Updated: | 05/01/2024 |
Provider Practice Location
160 FARMINGTON AVE
FARMINGTON
CT
060321728
Practice Location Phone/Fax
| Phone: | 8604950126 |
| Fax: |
Provider Mailing Location
9 WOODLAND ST
PLAINVILLE
CT
060622339
Provider Mailing Phone/Fax
| Phone: | 9087706259 |
| Fax: |