Provider Demographics
NPI:1487914461
Name:MURPHY, JANET M (MS ED, BCBA)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JOSIAH DR
Mailing Address - Street 2:
Mailing Address - City:UPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01568-1451
Mailing Address - Country:US
Mailing Address - Phone:508-529-9111
Mailing Address - Fax:508-529-9309
Practice Address - Street 1:8 JOSIAH DR
Practice Address - Street 2:
Practice Address - City:UPTON
Practice Address - State:MA
Practice Address - Zip Code:01568-1451
Practice Address - Country:US
Practice Address - Phone:508-529-9111
Practice Address - Fax:508-529-9309
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1-03-1381103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst