Organization
VITA BEHAVIOR SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX PUPEK MS,BCBA (BCBA)
(610) 405-5489
Entity
Organization
Contact information
Practice address
158 DUPONT ST, PHILADELPHIA, PA 19127-1249
(610) 405-5489
Mailing address
158 DUPONT ST, PHILADELPHIA, PA 19127-1249
(610) 405-5489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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