Provider Demographics
NPI:1396116836
Name:MURAWSKY, SHELLEY (BCBA)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:MURAWSKY
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 1:11350 RANDOM HILLS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6044
Mailing Address - Country:US
Mailing Address - Phone:703-537-0700
Mailing Address - Fax:703-537-0688
Practice Address - Street 1:11350 RANDOM HILLS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6044
Practice Address - Country:US
Practice Address - Phone:703-537-0700
Practice Address - Fax:703-537-0688
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst