Organization
POSITIVE BEHAVIOR SUPPORTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NOLAN BCBA-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
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017422400
—
FL
Enumeration date
07/30/2021
Last updated
07/12/2024
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