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NPI Code Detail

MEDICARE: SUZANNAH L MURRAY BCBA

MEDICARE: SUZANNAH L MURRAY BCBA
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 Analyst

General Provider Information

NPI Number : 1124530423
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNAH L MURRAY BCBA
Provider Business Mailing Address
First Line : 1617 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-3976
Country : US
Telephone Number : 504-481-7359
Fax Number :
Provider Business Practice Location Address
First Line : 1617 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-3976
Country : US
Telephone Number : 504-481-7359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2017
Last Update Date : 02/08/2018

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Directions to “ SUZANNAH L MURRAY BCBA” Practice Location

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