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General NPI Number Information
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NPI Number | 1477998490
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Entity Type | Organization
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Legal Business Name | POSITIVE BEHAVIOR SUPPORTS PLUS, INC.
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 960 DAVIS RD
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City | CHATHAM
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State | VA
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Zip | 24531-2903
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Country | US
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Telephone | 540-570-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 960 DAVIS RD
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City | CHATHAM
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State | VA
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Zip | 24531-2903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LAURA SABADOS
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Credential | PBSF, MT-BC
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Telephone | 540-570-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 136
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License Number State | VA
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