Organization
POSITIVE REINFORCEMENT ABA THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE WAGNER (OWNER)
(877) 315-8080
Entity
Organization
Contact information
Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
(877) 345-4009
Mailing address
373 S. WILLOW ST. SUITE 266, MANCHESTER, NH 03103
(877) 315-8080
(877) 345-4009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
06/15/2016
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