Healthcare Provider Details

I. General information

NPI: 1508723131
Provider Name (Legal Business Name): POSITIVITY PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E ERIE ST STE 525-2768
CHICAGO IL
60611-2740
US

IV. Provider business mailing address

357 BERGEN AVE
LAKEWOOD NJ
08701-3523
US

V. Phone/Fax

Practice location:
  • Phone: 848-342-5801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BREINDY LIVAN
Title or Position: OWNER
Credential:
Phone: 917-648-1159