Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | C-019 | LA |
NPI | 1104353606 |
---|---|
Provider Name | Elizabeth Lee Murray |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Shreveport, LA 71105-5699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2017 |
Last Update Date | 15/07/2019 |