Provider Demographics
NPI:1861064545
Name:MURDOCK, MEGAN B (MSW, LCSW, BCBA)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:B
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MSW, LCSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3334
Mailing Address - Country:US
Mailing Address - Phone:510-325-4758
Mailing Address - Fax:
Practice Address - Street 1:35 AVENIDA DE ORINDA
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2305
Practice Address - Country:US
Practice Address - Phone:925-222-5518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-08-4123103K00000X
CA220911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst