Provider Demographics
NPI:1285265264
Name:MURPHY, LINDSAY PAIGE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:PAIGE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 WESTCHESTER AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3307
Mailing Address - Country:US
Mailing Address - Phone:256-508-5234
Mailing Address - Fax:
Practice Address - Street 1:305 WESTCHESTER AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3307
Practice Address - Country:US
Practice Address - Phone:256-508-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-19-39773103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-19-39773OtherBEHAVIOR ANALYST CERTIFICATION BOARD (BACB) CERTIFICATION NUMBER