Individual
BLAKELY MURRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4931 RIVERSIDE DR STE 400A, MACON, GA 31210-1195
(478) 219-7626
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64289
GA
106S00000X
Behavior Technician
RBT-20-130471
GA
Other
Enumeration date
12/02/2020
Last updated
03/12/2023
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