Healthcare Provider Details

I. General information

NPI: 1821801796
Provider Name (Legal Business Name): PETER MURPHY OJUGO MA, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BETHANY RD STE 92
HAZLET NJ
07730-1669
US

IV. Provider business mailing address

1 BETHANY RD STE 92
HAZLET NJ
07730-1669
US

V. Phone/Fax

Practice location:
  • Phone: 855-500-3848
  • Fax: 855-500-3848
Mailing address:
  • Phone: 855-500-3848
  • Fax: 855-500-3848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-78066
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: