Provider Demographics
NPI:1033646195
Name:MURPHY, LISA M (MA, BCBA, LABA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 INDUSTRIAL WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-6202
Mailing Address - Country:US
Mailing Address - Phone:561-323-6593
Mailing Address - Fax:
Practice Address - Street 1:35 INDUSTRIAL WAY STE 101
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-6202
Practice Address - Country:US
Practice Address - Phone:561-323-6593
Practice Address - Fax:561-997-1246
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-33299103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst