Provider Demographics
NPI:1730890740
Name:KNIGHT, SEAN T (BEHAVIOR TECHINICIAN)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:T
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:BEHAVIOR TECHINICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 EKELA AVE APT B3
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-6024
Mailing Address - Country:US
Mailing Address - Phone:805-380-8059
Mailing Address - Fax:
Practice Address - Street 1:324 KAPAHULU AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4033
Practice Address - Country:US
Practice Address - Phone:808-971-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician