Kupps, Erin K

Kupps, Erin K is an sole proprietor health care provider with primary practice located at 4647 Clyde Morris Blvd Unit 501 , Port Orange FL 32129-3001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Kupps, Erin K can be contacted via phone (386) 767-3752.

Contact Information

Primary practice address
4647 Clyde Morris Blvd Unit 501 Port Orange FL 32129-3001
Phone: (386) 767-3752
Fax: (386) 767-4319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-58540 Florida

Profile Details

NPI number 1932656600
LBN Legal business name Kupps, Erin K
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2016
Last updated Apr 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932656600 NPPES
Florida MEDICAID 019602400

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