| Positive Change Behavioral, Inc. | |
|
241 County Road 285 Jasper TX 75951-6730 | |
| (707) 499-0736 | |
| (707) 630-3780 |
| Full Name | Positive Change Behavioral, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 241 County Road 285, Jasper, Texas |
| Authorized Official Name and Position | Celia Marie Drill (OWNER) |
| Authorized Official Contact | 7074990736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Behavioral, Inc. 5501 Dunsmuir Ave Dunsmuir CA 96025-2013 Ph: (170) 749-9073 | Positive Change Behavioral, Inc. 241 County Road 285 Jasper TX 75951-6730 Ph: (707) 499-0736 |
| NPI Number | 1194410712 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194410712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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