| Positive Behavior Support Corp. | |
|
563 Balboa Avenue #521 San Diego CA 92111 | |
| (253) 732-1121 | |
| Not Available |
| Full Name | Positive Behavior Support Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 563 Balboa Avenue, San Diego, California |
| Authorized Official Name and Position | Kasandra Renee Flores (REGISTERED BEHAVIOR TECHNICIAN) |
| Authorized Official Contact | 2537321121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavior Support Corp. 563 Balboa Avenue 521 San Diego CA 92111 Ph: () - | Positive Behavior Support Corp. 563 Balboa Avenue #521 San Diego CA 92111 Ph: (253) 732-1121 |
| NPI Number | 1508307125 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508307125 | NPI | - | NPPES |
| 106S00000X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 106S00000X (California) | Primary |
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