Organization Active NPI

Positive Behavior Support Corp.

  • Behavior Technician
  • San Francisco, CA
National Provider Identifier
1053038372
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
POSITIVE BEHAVIOR SUPPORT CORP.
Practice address
1101 Eucalyptus Dr
San Francisco, CA 94132-1401
Phone
(510) 695-1508
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle L Pulido
Title
Behavior Assistant
Phone
(510) 695-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

1101 Eucalyptus Dr
San Francisco, CA 94132-1401

Mailing address

76 Summit Way
San Francisco, CA 94132-2996
Phone (510) 695-1508

National Provider Directory

National Provider Directory

Locations

1101 Eucalyptus Dr
San Francisco, CA 94132
Phone (510) 695-1508

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1053038372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMIT WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322996",
            "telephone_number": "510-695-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EUCALYPTUS DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321401",
            "telephone_number": "510-695-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIOR SUPPORT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BEHAVIOR ASSISTANT",
        "authorized_official_telephone_number": "510-695-1508"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.