PROACTIVE BEHAVIOR SOLUTIONS INCORPORATED


Address: 2460 Northside Dr, Apt 1303, Clearwater, FL 33761-2242
Phone: 7277817200

PROACTIVE BEHAVIOR SOLUTIONS INCORPORATED (NPI# 1174785323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174785323
Entity Type Organization
Organization Name PROACTIVE BEHAVIOR SOLUTIONS INCORPORATED
Practice Address 2460 Northside Dr
Apt 1303
Clearwater
FL 33761-2242
Practice Telephone 7277817200
Practice Fax Number 7277817220
Enumeration Date 2008-06-30
Last Update Date 2008-06-30
Authorized Official Name MS. CHRISTINA GINGRAS (PRESIDENT)
Authorized Official Telephone 7277817200
Authorized Official Credential MS BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health FL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAID WAIVER 691662796 01
FL MEDICAID WAIVER 691662798 01

Office Location

Street Address 2460 NORTHSIDE DR
APT 1303
City CLEARWATER
State FL
Zip Code 33761-2242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902192925 Courtney Justine Gabler Behavioral Analyst 2460 Northside Dr, #1303, Clearwater, FL 33761-2237 2011-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770184210 Sandra Shanice Campisi Behavior Technician 29228 Us-19 N, Clearwater, FL 33761 2020-11-02
1659838449 Branden Kleehammer Occupational Therapy Assistant 6941 300th Ave N, Clearwater, FL 33761 2019-02-27
1063901403 Sheleaha C Egly I Behavior Technician 29288 Us Highway 19 N, Clearwater, FL 33761 2018-05-01
1760979629 Melissa Irene Valentine Social Worker 6997 300th Ave North, Clearwater, FL 33761 2018-04-17
1871011049 Maria's Adult Day Care Center Clinic/Center 26224 Us Highway 19 N., Clearwater, FL 33761 2017-09-07
1962933739 Robert Hudson Occupational Therapist 3463 Northridge Dr, Clearwater, FL 33761 2017-03-23
1366985582 Brandon Chad Brown Physician Assistant 29277 Hwy 19 North, Clearwater, FL 33761 2016-11-19
1730575606 Layne S Winker Physician Assistant 26812 Us 19 N # 19, Clearwater, FL 33761 2015-04-08
1407254907 M Christina Memoli Od Pa Optometrist 27901 Us 19 N, Clearwater, FL 33761 2014-12-15
1952729774 Gina Pietras Spohn Dermatology 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 2014-03-29
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881161164 Health Nexus LLC Community/Behavioral Health 3118 Gulf To Bay Blvd Ste 226d, Clearwater, FL 33759-4553 2018-10-25
1013371269 Tanika Dampier Community/Behavioral Health 215 N Saturn Ave, Clearwater, FL 33755-5926 2016-04-13
1205228251 Heads Community/Behavioral Health 10 S Pegasus Ave, Clearwater, FL 33765-3432 2015-02-28
1215345061 Rescare Behavior Services, Inc. Community/Behavioral Health 24761 Us Highway 19 N, Clearwater, FL 33763-3933 2014-07-24
1366855587 Mindworks On Call Community/Behavioral Health 2878 Fair Green Dr, Clearwater, FL 33761-1845 2014-06-05
1043568371 Camelot Community Care Community/Behavioral Health 4910 Creekside Dr, Suite D, Clearwater, FL 33760-4023 2012-08-16
1174884134 Applied Behavior Approaches of Tampa Bay Inc. Community/Behavioral Health 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 2012-06-06
1730326141 House of Mercy & Encouragement Community/Behavioral Health 2723 Belle Haven Dr, Clearwater, FL 33763-1002 2009-01-07
1225178437 Abilities Inc of Florida Community/Behavioral Health 2735 Whitney Rd, Clearwater, FL 33760-1610 2007-02-07
1972661411 Operation Par Inc Community/Behavioral Health 6150 150th Ave N, Clearwater, FL 33760-2138 2006-12-05
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Competitor

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City CLEARWATER
Zip Code 33761

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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