Organization
POSITIVE STATE PSYCHOLOGICAL & BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PETRONGOLO PSYD, BCBA (PSYCHOLOGIST)
(844) 365-7676
Entity
Organization
Contact information
Practice address
140 S BROADWAY STE 7, PITMAN, NJ 08071-2235
(844) 365-7676
Mailing address
140 S BROADWAY STE 7, PITMAN, NJ 08071-2235
(844) 365-7676
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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