Alex John Rupp
NPI #1003707589 in Kings Park, New York
Provider Information
- NPI Number
- 1003707589
- Entity Type
- Individual
- Name
- Alex John Rupp
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 11, 2025
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 77 W MAIN ST
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-1605
- Phone
- (631) 304-3374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Assistant Behavior Analyst |
| Behavior Technician |
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