Healthcare Provider Details

I. General information

NPI: 1710341326
Provider Name (Legal Business Name): AMANDA MURZYNSKI M.S.ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2016
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9815 CROSS PINE CT
LAKE WORTH FL
33467-2367
US

IV. Provider business mailing address

3414 W MALLORY BLVD
JUPITER FL
33458-8773
US

V. Phone/Fax

Practice location:
  • Phone: 561-223-8076
  • Fax: 561-584-5372
Mailing address:
  • Phone: 561-972-0820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberBH002759
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-61445
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH002759
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: