Organization
POSITIVE BEHAVIOR SUPPORTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NOLAN BCBA, PH.D. (OWNER/FOUNDER)
(855) 832-6727
Entity
Organization
Contact information
Practice address
540 STEARNS LN, OAKLAND, OR 97462-8763
(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
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747180
—
AK
05
—
200332
—
WA
05
—
500804768
—
OR
Enumeration date
12/10/2014
Last updated
10/07/2025
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