Organization
PROACTIVE BEHAVIOR SOLUTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA GINGRAS MS BCBA (PRESIDENT)
(727) 781-7200
Entity
Organization
Contact information
Practice address
2460 NORTHSIDE DR, APT 1303, CLEARWATER, FL 33761-2242
(727) 781-7200
(727) 781-7220
Mailing address
2460 NORTHSIDE DR, APT 1303, CLEARWATER, FL 33761-2242
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691662796
MEDICAID WAIVER
FL
01
—
691662798
MEDICAID WAIVER
FL
Enumeration date
06/30/2008
Last updated
06/30/2008
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