Provider Demographics
NPI:1104438860
Name:MURPHY, MICHELLE (BCABA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 ROCKRIMMON BLVD
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-1728
Mailing Address - Country:US
Mailing Address - Phone:215-485-6834
Mailing Address - Fax:
Practice Address - Street 1:143 ROCKRIMMON BLVD
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1728
Practice Address - Country:US
Practice Address - Phone:215-485-6834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst