Provider Demographics
NPI:1356718613
Name:POSITIVE BEHAVIORAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:POSITIVE BEHAVIORAL SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SINEAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D, LMHC
Authorized Official - Phone:774-205-0227
Mailing Address - Street 1:9 DOUGLAS COR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-1010
Mailing Address - Country:US
Mailing Address - Phone:774-205-0227
Mailing Address - Fax:508-997-1312
Practice Address - Street 1:69 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-2923
Practice Address - Country:US
Practice Address - Phone:508-997-1311
Practice Address - Fax:508-997-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty