| Vita Behavior Supports | |
|
158 Dupont St Philadelphia PA 19127-1249 | |
| (610) 405-5489 | |
| Not Available |
| Full Name | Vita Behavior Supports |
|---|---|
| Speciality | Behavior Analyst |
| Location | 158 Dupont St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Max Pupek (BCBA) |
| Authorized Official Contact | 6104055489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Behavior Supports 158 Dupont St Philadelphia PA 19127-1249 Ph: (610) 405-5489 | Vita Behavior Supports 158 Dupont St Philadelphia PA 19127-1249 Ph: (610) 405-5489 |
| NPI Number | 1295660686 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295660686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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