Lexie Jo Cupp, M.ED., BCBA
Individual provider Active NPI Behavior Analyst · Kiln, MS
NPI 1164804191 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1164804191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-14174
- Practice address
- 17095 Fenton Dedeaux Rd
Kiln, MS 39556-6931 - Phone
- (318) 416-2208
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catch, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14174 | Yes |
Addresses
Primary practice location
17095 Fenton Dedeaux Rd
Kiln, MS 39556-6931
Mailing address
17095 Fenton Dedeaux Rd
Kiln, MS 39556-6931
Phone (318) 416-2208
Other providers in Kiln, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.