Organization Active NPI

Vita Behavior Supports

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1295660686
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VITA BEHAVIOR SUPPORTS
Practice address
158 Dupont St
Philadelphia, PA 19127-1249
Phone
(610) 405-5489
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Max Pupek, MS,BCBANPI 1790619138
Title
Bcba
Phone
(610) 405-5489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

158 Dupont St
Philadelphia, PA 19127-1249

Mailing address

158 Dupont St
Philadelphia, PA 19127-1249
Phone (610) 405-5489

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1295660686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DUPONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271249",
            "telephone_number": "610-405-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DUPONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271249",
            "telephone_number": "610-405-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA BEHAVIOR SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "PUPEK",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "610-405-5489",
        "authorized_official_credential": "MS,BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.