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General NPI Number Information
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NPI Number | 1568399210
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Entity Type | Organization
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Legal Business Name | POSITIVE BEHAVIOR SUPPORT
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 7108 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34997-7462
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Country | US
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Telephone | 864-980-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 112 DOVE RD
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City | GREENWOOD
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State | SC
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Zip | 29649-8808
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Country | US
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Telephone | 864-980-4947
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Fax |
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Authorized Official
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Title or Position | CLINICAL TRAINING COORDINATOR
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Name | MISS FAITH HOLLY
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Credential |
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Telephone | 855-832-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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