Provider Demographics
NPI:1427539709
Name:POSITIVE BEHAVIOR CHANGES LLC
Entity Type:Organization
Organization Name:POSITIVE BEHAVIOR CHANGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHD, LBA, BCBA
Authorized Official - Prefix:
Authorized Official - First Name:RONNI
Authorized Official - Middle Name:J
Authorized Official - Last Name:OKRASKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-360-8389
Mailing Address - Street 1:59 DAMONTE RANCH PKWY # B-321
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-1907
Mailing Address - Country:US
Mailing Address - Phone:775-360-8389
Mailing Address - Fax:866-936-1617
Practice Address - Street 1:10730 RIDGEBROOK DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8333
Practice Address - Country:US
Practice Address - Phone:775-360-8389
Practice Address - Fax:866-936-1617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty