Most Relevant Information
Provider Data
| NPI Number: | 1003661653 |
| Provider Name: | MARIA DE LOS ANGELES PUPO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-336470 |
Most Important Dates
| Enumeration Date: | 04/18/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
1850 FOREST HILL BLVD STE 102
WEST PALM BEACH
FL
334066056
Practice Location Phone/Fax
| Phone: | 5612840625 |
| Fax: | 5615845033 |
Provider Mailing Location
1655 S FLORIDA MANGO RD APT 12
WEST PALM BEACH
FL
334068905
Provider Mailing Phone/Fax
| Phone: | 5616014641 |
| Fax: |