NPI 1003707589

Alex John Rupp

Practitioner Case Manager/Care Coordinator Kings Park, NY

Practice location

Address: 77 W Main St, Kings Park, NY 11754-1605
Phone: (631) 304-3374

Registered specialties (3)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 78-P138140-01 (NY)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003707589
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.