Individual
MRS. EMILY JEAN MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
57 MADISON AVE, WATERBURY, CT 06706-1826
(860) 462-6128
Mailing address
57 MADISON AVE, WATERBURY, CT 06706-1826
(860) 462-6128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-23431
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
07/11/2018
Last updated
07/11/2018
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