| Positive Behavior Support Corporation | |
|
122 Harlen Daugherty St Englewood TN 37329-3277 | |
| (423) 920-5211 | |
| Not Available |
| Full Name | Positive Behavior Support Corporation |
|---|---|
| Speciality | Behavior Technician |
| Location | 122 Harlen Daugherty St, Englewood, Tennessee |
| Authorized Official Name and Position | Layota Magill (BCBA) |
| Authorized Official Contact | 8558326727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavior Support Corporation 7108 S Kanner Hwy Stuart FL 34997-7462 Ph: () - | Positive Behavior Support Corporation 122 Harlen Daugherty St Englewood TN 37329-3277 Ph: (423) 920-5211 |
| NPI Number | 1922788876 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922788876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Cherokee Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3360 Highway 411 North, Englewood, TN 37329 Phone: 423-887-5131 Fax: 423-887-5917 |