Provider Demographics
NPI:1730902958
Name:MURDOCH, INES MARIA (RBT)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:MARIA
Last Name:MURDOCH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 NW 155TH LN APT 308
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6334
Mailing Address - Country:US
Mailing Address - Phone:786-788-3880
Mailing Address - Fax:
Practice Address - Street 1:1806 N FLAMINGO RD STE 110
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1027
Practice Address - Country:US
Practice Address - Phone:786-673-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-23-315985106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician