Individual
MACKENZIE KRISTINE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
4112 FIELDSTONE RD, SUITE B, CHAMPAIGN, IL 61822
(888) 308-3728
Mailing address
4112 FIELDSTONE RD, SUITE B, CHAMPAIGN, IL 61822
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47651
IL
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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