MEDICARE: POSITIVE BEHAVIOR SUPPORTS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083051189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE BEHAVIOR SUPPORTS CORPORATION

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Provider Business Practice Location Address
First Line	:	320 DECKER DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3999
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Authorized Official
Title or Position	:	CEO
Name	:	DR. MICHAEL NOLAN
Credential	:	BCBA, PH.D
Telephone Number	:	855-832-6727

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	10/21/2025

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Directions to “POSITIVE BEHAVIOR SUPPORTS CORPORATION ” Practice Location

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