Active NPI
Kirsten Elizabeth Murphy, M.ED., BCBA
- Behavior Analyst
- Kennesaw, GA
National Provider Identifier
1619485729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-40489
- Practice address
- 3330 Chastain Meadows Pkwy NW Ste 200
Kennesaw, GA 30144-5881 - Phone
- (678) 648-7644
- Fax
- (678) 882-7040
- NPI assigned
- Jan 11, 2018
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000553 | AZ | |
| Behavior Analyst | 103K00000X | 1-19-40489 | GA | Primary |
Addresses
Primary practice location
3330 Chastain Meadows Pkwy NW Ste 200
Kennesaw, GA 30144-5881
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-40489 | Other | BCBA CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000553 | AZ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1619485729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 CHASTAIN MEADOWS PKWY NW STE 200",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445881",
"telephone_number": "678-648-7644",
"fax_number": "678-882-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "KIRSTEN",
"middle_name": "ELIZABETH",
"credential": "M.ED., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000553",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-19-40489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-19-40489",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.