Organization
POSITIVE BEHAVIORAL CHANGE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY MCCALLA L.C.S.W. (PRESIDENT)
(954) 298-8586
Entity
Organization
Contact information
Practice address
4431 DAVIE RD, SUITE 105, DAVIE, FL 33314-3458
(954) 298-8586
(954) 583-1567
Mailing address
4340 NW 6TH CT, PLANTATION, FL 33317-2146
(954) 298-8586
(954) 583-1567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW7809
FL
Other
Enumeration date
11/22/2007
Last updated
11/22/2007
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