Healthcare Provider Details

I. General information

NPI: 1063348209
Provider Name (Legal Business Name): MARCUS X MURRAY RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13090 SW 248TH ST STE 14
HOMESTEAD FL
33032-6087
US

IV. Provider business mailing address

700 SW 107TH AVE
MIAMI FL
33174-1302
US

V. Phone/Fax

Practice location:
  • Phone: 305-330-4660
  • Fax: 786-217-1376
Mailing address:
  • Phone: 305-330-4660
  • Fax: 786-217-1376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-25-16167
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: