MEDICARE: MRS. SARAH E MURPHY M.S. ED, BCBA, LBA

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
1	174400000X	Specialist
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1093077349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH E MURPHY M.S. ED, BCBA, LBA

Provider Business Mailing Address
First Line	:	5405 LEMOORE DR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5599
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Provider Business Practice Location Address
First Line	:	4870 SADLER RD STE 300
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-6294
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	04/05/2021

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