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NPI Code Detail

MEDICARE: ERYN TSCHUPP BCBA

MEDICARE: ERYN TSCHUPP BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1068-140WI
2103K00000XBehavior Analyst7401001994MI

General Provider Information

NPI Number : 1760188817
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERYN TSCHUPP BCBA
Provider Business Mailing Address
First Line : 210 WESLEY ST
Second Line :
City : PETOSKEY
State : MI
Zip : 49770-3044
Country : US
Telephone Number : 248-469-7769
Fax Number :
Provider Business Practice Location Address
First Line : 910 SPRING ST
Second Line :
City : PETOSKEY
State : MI
Zip : 49770-2881
Country : US
Telephone Number : 248-469-7769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 11/09/2024

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Directions to “ ERYN TSCHUPP BCBA” Practice Location

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