Healthcare Provider Details

I. General information

NPI: 1689455636
Provider Name (Legal Business Name): POSITIVE STEPS BEHAVIORAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 N KEYSTONE AVE
INDIANAPOLIS IN
46205-2834
US

IV. Provider business mailing address

3745 W 97TH ST
CARMEL IN
46032-9641
US

V. Phone/Fax

Practice location:
  • Phone: 317-775-7382
  • 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
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. RANDY ROBINSON II
Title or Position: CO OWNER
Credential:
Phone: 317-397-7520