Provider Demographics
NPI:1356968556
Name:LEARNING POSITIVE SUPPORT INC
Entity type:Organization
Organization Name:LEARNING POSITIVE SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAFNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-287-8126
Mailing Address - Street 1:580 W 41ST PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3846
Mailing Address - Country:US
Mailing Address - Phone:786-287-8126
Mailing Address - Fax:
Practice Address - Street 1:580 W 41ST PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3846
Practice Address - Country:US
Practice Address - Phone:786-287-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty