Provider Demographics
NPI:1821439829
Name:DUPUIS, AIMEE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40485 MURRIETA HOT SPRINGS RD # 146
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6436
Mailing Address - Country:US
Mailing Address - Phone:951-813-4034
Mailing Address - Fax:951-813-4035
Practice Address - Street 1:7839 UNIVERSITY AVE STE 105
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0478
Practice Address - Country:US
Practice Address - Phone:619-639-3340
Practice Address - Fax:619-639-3340
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-13-13474103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst