Healthcare Provider Details

I. General information

NPI: 1740323195
Provider Name (Legal Business Name): POSITIVE BEHAVIORAL STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 S BOSTON AVE
TULSA OK
74119-4809
US

IV. Provider business mailing address

1629 S PEORIA AVE
TULSA OK
74120-6203
US

V. Phone/Fax

Practice location:
  • Phone: 918-585-9888
  • Fax: 918-585-9862
Mailing address:
  • Phone: 918-585-9888
  • Fax: 918-585-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC1346
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20
License Number StateOK

VIII. Authorized Official

Name: MS. CYNTHIA J NAFF
Title or Position: OWNER
Credential: LPC, LADC
Phone: 918-585-9888