Provider Demographics
NPI:1972234557
Name:POSITIVE SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:POSITIVE SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SINHBANDITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-399-8356
Mailing Address - Street 1:1837 OAK TREE LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-4572
Mailing Address - Country:US
Mailing Address - Phone:925-399-8356
Mailing Address - Fax:
Practice Address - Street 1:1837 OAK TREE LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95209-4572
Practice Address - Country:US
Practice Address - Phone:925-399-8356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty