Organization
POSITIVE BEHAVIOR SUPPORT
Active
Organization subpart
Yes
Provider details
NPI number
Authorized official
AMIYA T PATRICK (BEHAVIOR TECHNICIAN)
(251) 525-6176
Entity
Organization
Contact information
Practice address
122 JOHNSTON ST, CHICKASAW, AL 36611-1850
(251) 525-6176
Mailing address
122 JOHNSTON ST, CHICKASAW, AL 36611-1850
(251) 525-6176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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