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Organization
POSITIVE BEHAVIOR SUPPORT CORP.
Active
Organization
POSITIVE BEHAVIOR SUPPORT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASANDRA RENEE FLORES RBT (REGISTERED BEHAVIOR TECHNICIAN)
(253) 732-1121
Entity
Organization
Contact information
Practice address
563 BALBOA AVENUE, #521, SAN DIEGO, CA 92111
(253) 732-1121
Mailing address
563 BALBOA AVENUE, 521, SAN DIEGO, CA 92111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106S00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
CA
Enumeration date
03/15/2017
Last updated
03/15/2017
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