| Positive Behavioral Change Incorporated | |
|
4431 Davie Rd Suite 105 Davie FL 33314-3458 | |
| (954) 298-8586 | |
| (954) 583-1567 |
| Full Name | Positive Behavioral Change Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4431 Davie Rd, Davie, Florida |
| Authorized Official Name and Position | Michael Anthony Mccalla (PRESIDENT) |
| Authorized Official Contact | 9542988586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavioral Change Incorporated 4340 Nw 6th Ct Plantation FL 33317-2146 Ph: (954) 298-8586 | Positive Behavioral Change Incorporated 4431 Davie Rd Suite 105 Davie FL 33314-3458 Ph: (954) 298-8586 |
| NPI Number | 1154502888 |
|---|---|
| Provider Enumeration Date | 11/22/2007 |
| Last Update Date | 11/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154502888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW7809 (Florida) | Primary |
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