Organization
POSITIVE BEHAVIOR SUPPORTS
Active
Other names
Positive Behavior Supports Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NOLAN BCBA, PH.D (CEO)
(855) 832-6727
Entity
Organization
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255706628
—
IL
05
—
300083670
—
IN
Enumeration date
12/10/2015
Last updated
06/09/2025
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