Provider Demographics
NPI:1912521873
Name:MURO, CARLOS HUMBERTO (BCBA)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:HUMBERTO
Last Name:MURO
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3432 E VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5916
Mailing Address - Country:US
Mailing Address - Phone:310-982-0227
Mailing Address - Fax:
Practice Address - Street 1:3432 EAST VISTA STREET
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5916
Practice Address - Country:US
Practice Address - Phone:310-982-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-42365103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty