| Doctor Name: | SHANE KNOLL |
| NPI Number: | 1023471976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1-16-21909 |
| Business Practice Address: | 150 Washington Ave Ste 201 Santa Fe, NM - 875012038 |
| Business Phone Number: | 5086658044 |
| Business Fax Number: | |
| Mailing Address: | 2892 Pueblo Bonito, SANTA FE |
| State: | NM |
| Postal Code: | 875072549 |
| Phone Number: | 5086658044 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2016 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | 1-16-21909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |