Carly Nicole Knight, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1119 Old Humboldt Rd
Jackson, TN 38305-1752

Phone

(901) 443-9146

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1790440352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CONSTELLATION CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OLD HUMBOLDT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051752",
            "telephone_number": "901-443-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CARLY",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Kisner, MD
• Darleen Kitchen, LMT
• KKT Mobile Solutions LLC
• Ashada F Knight, MD
• Cameron Dewayne Knight, M.D.
• Christopher Michael Knight, MD
• Nathan Allen Koenegstein, OTR/L
• Hannah Grace Cruz Kolasinski
• Edward D Koonce, M.D.
• Alexandra Korshun, DO

• Behavior Analyst in Jackson, TN
• Providers in Jackson, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.