Positive Change Behavioral, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

POSITIVE CHANGE BEHAVIORAL, INC.

Practice address

241 County Road 285
Jasper, TX 75951-6730

Phone

(707) 499-0736

Fax

(707) 630-3780

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Celia Marie Drill, BCBANPI 1063859494

Title

Owner

Phone

(707) 499-0736

Specialties & licenses 1

Addresses

Tax ID family

Positive Change Behavioral Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Positive Change Behavioral, Inc.

  • Behavior Analyst
  • Blue Lake, CA
  • NPI 1285577791
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celia M Drill, B.A., M.F.A., BCBA

  • Behavior Analyst
  • Clearlake Oaks, CA
  • NPI 1063859494
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1194410712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DUNSMUIR AVE",
            "city": "DUNSMUIR",
            "state": "CA",
            "postal_code": "960252013",
            "telephone_number": "170-749-9073",
            "fax_number": "707-630-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 COUNTY ROAD 285",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759516730",
            "telephone_number": "707-499-0736",
            "fax_number": "707-630-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE BEHAVIORAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "DRILL",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-499-0736",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Annette Prewitt, LBSW
• Prosperity One Call Transportation LLC

• Behavior Analyst in Jasper, TX
• Providers in Jasper, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.