Provider Demographics
NPI:1356709067
Name:POSITIVE DIRECTIONS BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:POSITIVE DIRECTIONS BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEYGAND
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:508-314-7320
Mailing Address - Street 1:215 BOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2236
Mailing Address - Country:US
Mailing Address - Phone:508-314-7320
Mailing Address - Fax:
Practice Address - Street 1:215 BOXWOOD LN
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2236
Practice Address - Country:US
Practice Address - Phone:508-314-7320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health