Makenzie Michelle Murphy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-64164 Issued in FL

Practice address

301 E Hickory Ave
Crestview, FL 32536-2737

Phone

(850) 329-8641

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Star Behavior Consulting, LLC

  • Behavior Analyst
  • Crestview, FL
  • NPI 1093272478
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1104487404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SIDNEY AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324333219",
            "telephone_number": "850-377-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E HICKORY AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362737",
            "telephone_number": "850-329-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MAKENZIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "1-21-11859",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-91004",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-64164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moulton'S Pharmacy, Inc.
• Khalid Mohamed Moussa, MD
• Tiffany Moye
• Angela Murphy
• Kelly Murphy, RBT
• My Favorite Place Spa, LLC
• Cindy H Myers, MS, LMHC
• Jennifer Myers
• Jessica R Myers, LCSW
• Roy M Nakaiye, DDS PA

• Behavior Analyst in Crestview, FL
• Providers in Crestview, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.