Active NPI
Kaann Murray, MA, BCBA
- Behavior Analyst
- Myrtle Beach, SC
National Provider Identifier
1679234785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56666
- Practice address
- 126 Co Op Rd
Myrtle Beach, SC 29588-7375 - Phone
- (843) 605-0107
- NPI assigned
- Jan 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-56666 | SC | Primary |
Addresses
Primary practice location
126 Co Op Rd
Myrtle Beach, SC 29588-7375
Mailing address
126 Co Op Rd
Myrtle Beach, SC 29588-7375
Phone (843) 605-0107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kaann@mbs-jtp.com |
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1679234785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 CO OP RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887375",
"telephone_number": "843-605-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 CO OP RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887375",
"telephone_number": "843-605-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KAANN",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "1-21-56666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kaann@mbs-jtp.com",
"affiliation": "N",
"address_1": "126 Co Op Rd",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295887375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.