Provider Demographics
NPI:1073098547
Name:DEPYPER, NATALIE E (RBT)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:E
Last Name:DEPYPER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-2124
Mailing Address - Country:US
Mailing Address - Phone:586-337-0296
Mailing Address - Fax:
Practice Address - Street 1:404 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2805
Practice Address - Country:US
Practice Address - Phone:202-427-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRBT-15-06402106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386921690OtherLEARNING TOGETHER