Healthcare Provider Details
I. General information
NPI: 1649475914
Provider Name (Legal Business Name): SOLUTIONS POSITIVE BEHAVIOR STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2007
Last Update Date: 11/02/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 6TH AVENUE
SOUTH CHARLESTON WV
25303
US
IV. Provider business mailing address
325 6TH AVENUE
SOUTH CHARLESTON WV
25303
US
V. Phone/Fax
- Phone: 304-720-3383
- Fax: 304-720-3781
- Phone: 304-720-3383
- Fax: 304-720-3781
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MALENA
DAWN
SCALISE
Title or Position: CEO
Credential: BCBA
Phone: 304-720-3383