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NPI Code Detail

MEDICARE: POSITIVE BEHAVIOR HEALTH DEVELOPMENTS, INC.

MEDICARE: POSITIVE BEHAVIOR HEALTH DEVELOPMENTS, INC.
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639785645
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE BEHAVIOR HEALTH DEVELOPMENTS, INC.
Provider Business Mailing Address
First Line : 8270 WOODLAND CENTER BLVD FL 2
Second Line :
City : TAMPA
State : FL
Zip : 33614-2401
Country : US
Telephone Number : 888-343-7222
Fax Number : 888-791-0181
Provider Business Practice Location Address
First Line : 400 N ASHLEY DR STE 1900
Second Line :
City : TAMPA
State : FL
Zip : 33602-4311
Country : US
Telephone Number : 888-343-7222
Fax Number : 888-791-0181
Authorized Official
Title or Position : CLIENT RELATIONS MANAGER
Name : MR. ROSA KUCHLING
Credential : RBT
Telephone Number : 888-343-7222
Provider Enumeration Date : 09/16/2020
Last Update Date : 12/30/2024

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