Provider Demographics
NPI:1235327818
Name:POSITIVE BEHAVIOR INTERVENTIONS, INC
Entity Type:Organization
Organization Name:POSITIVE BEHAVIOR INTERVENTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BEHAVIORAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KNITTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LLP
Authorized Official - Phone:941-739-6198
Mailing Address - Street 1:12327 WINDING WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-2062
Mailing Address - Country:US
Mailing Address - Phone:941-739-6198
Mailing Address - Fax:941-739-6198
Practice Address - Street 1:12327 WINDING WOODS WAY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-2062
Practice Address - Country:US
Practice Address - Phone:941-739-6198
Practice Address - Fax:941-739-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688764396Medicaid
FL688764398Medicaid