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Organization
POSITIVE BEHAVIOR SUPPORTS CORP
Active
Organization
POSITIVE BEHAVIOR SUPPORTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BOUAKAR (BEHAVIOR ASSISTANT)
(949) 572-4060
Entity
Organization
Contact information
Practice address
800 CONCORD AVE, FULLERTON, CA 92831-3513
(949) 572-4060
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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