MEDICARE: POSITIVE INTERVENTIONS,INC/KATHLEEN A. AUB LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH1633	FL

General Provider Information

NPI Number	:	1174683536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE INTERVENTIONS,INC/KATHLEEN A. AUB LMHC

Provider Business Mailing Address
First Line	:	1210 S FEDERAL HWY
Second Line	:	SUITE # 201
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6044
Country	:	US
Telephone Number	:	561-733-8050
Fax Number	:	561-733-8037

Provider Business Practice Location Address
First Line	:	1210 S FEDERAL HWY
Second Line	:	SUITE # 201
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6044
Country	:	US
Telephone Number	:	561-733-8050
Fax Number	:	561-733-8037

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KATHLEEN A AUB
Credential	:	LMHC
Telephone Number	:	561-733-8050

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	09/18/2013

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