| Positive Behavior Supports Corporation | |
|
400 E Royal Ln Ste 290 Irving TX 75039-3602 | |
| (855) 832-6727 | |
| (772) 675-9100 |
| Full Name | Positive Behavior Supports Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 E Royal Ln Ste 290, Irving, Texas |
| Authorized Official Name and Position | Michael Nolan (CEO) |
| Authorized Official Contact | 8558326727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavior Supports Corporation 7108 S Kanner Hwy Stuart FL 34997-7462 Ph: (855) 832-6727 | Positive Behavior Supports Corporation 400 E Royal Ln Ste 290 Irving TX 75039-3602 Ph: (855) 832-6727 |
| NPI Number | 1083051189 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083051189 | NPI | - | NPPES |
| 201272920A | Medicaid | KS | |
| 500092223 | Medicaid | MO | |
| 42406838 | Medicaid | NM | |
| 9000205374 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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