Organization
POSITIVE BEHAVIOR SUPPORTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE SANTACRUZ (BEHAVIOR ASSISTANT)
(559) 672-1636
Entity
Organization
Contact information
Practice address
2100 STANDIFORD AVE STE 12-180, MODESTO, CA 95350-6522
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(772) 349-6317
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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