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NPI Code Detail

MEDICARE: MRS. GINA MURRAY BCBA

MEDICARE: MRS. GINA 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 Analyst1-19-35490

General Provider Information

NPI Number : 1821369109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA MURRAY BCBA
Provider Business Mailing Address
First Line : 729 LARRY LN
Second Line :
City : WINDER
State : GA
Zip : 30680-8009
Country : US
Telephone Number : 813-716-8747
Fax Number :
Provider Business Practice Location Address
First Line : 100 BULL ST STE 200
Second Line :
City : SAVANNAH
State : GA
Zip : 31401-3378
Country : US
Telephone Number : 813-716-8747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2012
Last Update Date : 04/27/2021

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Directions to “ MRS. GINA MURRAY BCBA” Practice Location

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