William Murray

Individual provider Active NPI Behavior Analyst · Brooklyn, WI

NPI 1699150417 · NPPES record last updated Jul 22, 2015

Key facts

NPI
1699150417
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
3-140 (WI)
Practice address
202 N 1St St
Brooklyn, WI 53521-9009
Phone
(608) 455-5202
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3-140WIMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3-140 WI Yes

Addresses

Primary practice location

202 N 1St St
Brooklyn, WI 53521-9009

Mailing address

202 N 1St St
Brooklyn, WI 53521-9009

Other providers in Brooklyn, WI

All providers in Brooklyn, WI · Behavior Analyst in Wisconsin

Sources for this page

Verify at the official NPI Registry.