Provider Demographics
NPI:1356080477
Name:POSITIVE APPROACH CUSTOMIZED THERAPY, APPLIED BEHAVIOR ANALYSIS, PLLC
Entity type:Organization
Organization Name:POSITIVE APPROACH CUSTOMIZED THERAPY, APPLIED BEHAVIOR ANALYSIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFEVRE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:716-776-7228
Mailing Address - Street 1:367 WASHINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4360
Mailing Address - Country:US
Mailing Address - Phone:716-776-7228
Mailing Address - Fax:855-533-9633
Practice Address - Street 1:367 WASHINGTON HWY
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4360
Practice Address - Country:US
Practice Address - Phone:716-776-7228
Practice Address - Fax:844-533-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty