Healthcare Provider Details

I. General information

NPI: 1285544940
Provider Name (Legal Business Name): VALERIE M CUPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COLLEGE HILL RD
ENOLA PA
17025-2294
US

IV. Provider business mailing address

500 LOPAX RD
HARRISBURG PA
17112-4332
US

V. Phone/Fax

Practice location:
  • Phone: 717-512-0043
  • Fax: 717-389-4732
Mailing address:
  • Phone: 717-512-0043
  • Fax: 717-389-4732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: