Healthcare Provider Details
I. General information
NPI: 1316865207
Provider Name (Legal Business Name): COURTNEY MURRAY
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 QUINCE ORCHARD ROAD, SUITE 205,
GAITHERSBURG MD
20878-1435
US
IV. Provider business mailing address
7108 SOUTH KANNER HWY,
STUART FL
34997-7462
US
V. Phone/Fax
- Phone: 855-832-6727
- Fax:
- Phone: 855-832-6727
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: