Active NPI
Positive Behavior Support Corp.
- Behavior Technician
- San Francisco, CA
National Provider Identifier
1053038372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 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 DirectoryLocations
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.