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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
7108 S KANNER HWY, STUART, FL 34997-7462
(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
1052377
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003207265A
GA
05
0046102
OH
05
017422400
FL
05
064038079
DC
05
3001495591
VA
05
313047
AL
05
987019900
MD
05
GP9390
SC
05
M000058
NC
05
Q055266
TN
Enumeration date
01/22/2009
Last updated
11/24/2025
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