Individual
MR. KYLE JOSEPH KUPSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 NASSAU ST, CHARLESTON, SC 29403-4835
(860) 302-5082
Mailing address
PO BOX 56, MARION, CT 06444-0056
(860) 302-5082
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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