Provider Demographics
NPI:1134594815
Name:POSITIVE BEHAVIOR THERAPY, INC
Entity type:Organization
Organization Name:POSITIVE BEHAVIOR THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT LEAD BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:BEHLING
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:941-755-1057
Mailing Address - Street 1:15335 SEAROBBIN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5864
Mailing Address - Country:US
Mailing Address - Phone:941-755-1057
Mailing Address - Fax:941-755-1057
Practice Address - Street 1:15335 SEAROBBIN DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5864
Practice Address - Country:US
Practice Address - Phone:941-755-1057
Practice Address - Fax:941-755-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-10-6954103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty