Provider Demographics
NPI:1922765932
Name:GENERALIZED POSITIVE PRACTICES & SOLUTIONS
Entity Type:Organization
Organization Name:GENERALIZED POSITIVE PRACTICES & SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:GONZALEZ
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-712-5048
Mailing Address - Street 1:5015 MADISON AVE UNIT A101
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-5600
Mailing Address - Country:US
Mailing Address - Phone:916-712-5048
Mailing Address - Fax:
Practice Address - Street 1:8092 JADEN LN
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-5030
Practice Address - Country:US
Practice Address - Phone:916-712-5048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty