Organization
POSITIVE VIBES ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COLE BCBA (OWNER)
(423) 375-9192
Entity
Organization
Contact information
Practice address
1657 E STONE DR STE B, KINGSPORT, TN 37660-4669
(423) 375-9192
Mailing address
1657 E STONE DR STE B #151, KINGSPORT, TN 37660-4669
(423) 375-9192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034863
—
TN
05
—
Q045695
—
TN
Enumeration date
01/22/2019
Last updated
01/22/2019
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