Samantha E Kulpa, RBT

Individual provider Active NPI Behavior Technician · Pemberton, NJ

NPI 1801508676 · NPPES record last updated Dec 23, 2022

Key facts

NPI
1801508676
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
43 Elizabeth St
Pemberton, NJ 08068-1232
Phone
(609) 316-0195
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Behavior Technician Past
since Dec 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

43 Elizabeth St
Pemberton, NJ 08068-1232

Mailing address

PO Box 253
Skillman, NJ 08558-0253

Other providers in Pemberton, NJ

All providers in Pemberton, NJ · Behavior Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.