Organization
POSITIVE BEHAVIOR SUPPORT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ELOISIN (BEHAVIOR ASSISTANT)
(855) 832-6727
Entity
Organization
Contact information
Practice address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
624276
FL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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