Organization
POSITIVE BEHAVIOR SUPPORT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA AGRUSA (BEHAVIOR ASSISTANT)
(248) 904-9126
Entity
Organization
Contact information
Practice address
11088 52ND AVE APT 10, ALLENDALE, MI 49401-9286
(248) 904-9126
Mailing address
11088 52ND AVE APT 10, ALLENDALE, MI 49401-9286
(248) 904-9126
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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