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NPI Code Detail

MEDICARE: LISA MURPHY MA, BCBA, LABA

MEDICARE:   LISA  MURPHY  MA, BCBA, LABA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-18-33299

General Provider Information

NPI Number : 1033646195
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MURPHY MA, BCBA, LABA
Provider Business Mailing Address
First Line : 35 INDUSTRIAL WAY STE 101
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-6202
Country : US
Telephone Number : 561-323-6593
Fax Number :
Provider Business Practice Location Address
First Line : 35 INDUSTRIAL WAY STE 101
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-6202
Country : US
Telephone Number : 561-323-6593
Fax Number : 561-997-1246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2017
Last Update Date : 04/07/2026

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