Evy Malin Cecilia Murray
Individual provider Active NPI Behavior Analyst · Detroit, MI
NPI 1245904002 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1245904002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401001337 (MI)
- Practice address
- 400 Renaissance Ctr
Detroit, MI 48243-1502 - Phone
- (586) 453-1260
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001337 | MI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001337 | MI | Yes |
Addresses
Primary practice location
400 Renaissance Ctr
Detroit, MI 48243-1502
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.