POSITIVE BEHAVIOR SUPPORTS CORP (NPI# 1184158446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184158446 |
| Entity Type | Organization |
| Organization Name | POSITIVE BEHAVIOR SUPPORTS CORP |
| Practice Address |
563 Balboa Ave 521 San Diego CA 92111 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | DR. MICHAEL NOLAN (PRESIDENT) |
| Authorized Official Telephone | 8558326727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154787711 | Positive Behavior Supports Corp | Community/Behavioral Health | 317 Hollie Dr E, Belford, NJ 07718-1264 | 2016-01-12 |
| 1598027039 | Positive Behavior Supports Corp | Clinic/Center | 8108 Se Coconut St, Hobe Sound, FL 33455-4008 | 2012-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | positive behavior supports corp tx | 1555 S Havana St. Unit F-208, Aurora, CO 80012 |
| Washington State Corporations | POSITIVE BEHAVIOR SUPPORTS CORPORATION | 14205 Se 36th St Ste 100, Bellevue, WA 98006-1553 |
| Oregon Corporations, Companies and Business Names | POSITIVE BEHAVIOR SUPPORTS CORPORATION | 600 Stewart St Ste 300, Seattle, WA 98101 |
| Street Address |
563 BALBOA AVE 521 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243113 | Yasaman Shirinzadeh | Behavioral Analyst | 563 Balboa Ave, San Diego, CA 92111 | 2019-06-10 |
| 1699257931 | Robynne Patrice Ball | Technician, Other | 563 Balboa Ave, Ste #521, San Diego, CA 92111 | 2018-09-04 |
| 1508344854 | Griseth Zatarain | Behavioral Analyst | 563 Balboa Ave, #521, San Diego, CA 92111 | 2018-07-30 |
| 1750874095 | Achante Janelle Reynolds | Behavior Technician | 563 Balboa Ave, Suite 521, San Diego, CA 92111 | 2018-06-12 |
| 1982139994 | Sean Aaron | Behavior Technician | 563 Balboa Ave, #521, San Diego, CA 92111 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1477086163 | Rocio Garcia | Counselor | 7986 Dagget St., San Diego, CA 92111 | 2017-04-10 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1790390359 | Institute of Behavioral Sciences and Technology Family Counseling | Community/Behavioral Health | 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 | 2020-09-10 |
| 1902426018 | Clayton Counseling Licensed Clinical Social Worker Inc. | Community/Behavioral Health | 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 | 2020-04-17 |
| 1679113765 | Kristina Copley Marriage and Family Therapy, Inc | Community/Behavioral Health | 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 | 2020-01-07 |
| 1417598319 | Open Heart Leaders | Community/Behavioral Health | 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 | 2019-10-01 |
| 1710531405 | Katherine Raftery | Community/Behavioral Health | 3570 Granada Ave, San Diego, CA 92104-4145 | 2019-07-31 |
| 1063064509 | Abigail Frances Swan | Community/Behavioral Health | 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 | 2019-07-15 |
| 1548726862 | Unscripted Learning | Community/Behavioral Health | 3717 India St, San Diego, CA 92103-3727 | 2019-02-11 |
| 1356806509 | Vista Hill Foundation | Community/Behavioral Health | 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 | 2019-02-01 |
| 1891275707 | Kelley Kozlowski | Community/Behavioral Health | 4804 Iroquois Ave, San Diego, CA 92117-6248 | 2018-08-20 |
| Find all providers in SAN DIEGO | ||||
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| 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.