Most Relevant Information
Provider Data
| NPI Number: | 1003668575 |
| Provider Name: | JOHN EDWARD MURDICK |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2024 |
| Last Updated: | 04/05/2024 |
Provider Practice Location
8032 LAKESHORE RD
LEXINGTON
MI
484509719
Practice Location Phone/Fax
| Phone: | 8102583566 |
| Fax: |
Provider Mailing Location
2424 LINCOLN ST
DECKERVILLE
MI
484279201
Provider Mailing Phone/Fax
| Phone: | 8108370362 |
| Fax: |