| Positive Behavior Supports Corporation | |
|
540 Stearns Ln Oakland OR 97462-8763 | |
| (855) 832-6727 | |
| (772) 675-9100 |
| Full Name | Positive Behavior Supports Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 540 Stearns Ln, Oakland, Oregon |
| 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 540 Stearns Ln Oakland OR 97462-8763 Ph: (855) 832-6727 |
| NPI Number | 1780082511 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780082511 | NPI | - | NPPES |
| 500744220 | Medicaid | OR | |
| 200332 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |