NPIMap

Organization Active NPI

Positive Behavior Support Corporation

  • Other Technician
  • Allendale, MI
National Provider Identifier
1336890813
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
POSITIVE BEHAVIOR SUPPORT CORPORATION
Practice address
11088 52ND Ave Apt 10
Allendale, MI 49401-9286
Phone
(248) 904-9126
NPI assigned
Jan 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Authorized official

Name
Julia AgrusaNPI 1053063958
Title
Behavior Assistant
Phone
(248) 904-9126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

11088 52ND Ave Apt 10
Allendale, MI 49401-9286

Mailing address

11088 52ND Ave Apt 10
Allendale, MI 49401-9286
Phone (248) 904-9126

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642291200000",
    "number": "1336890813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11088 52ND AVE APT 10",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019286",
            "telephone_number": "248-904-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11088 52ND AVE APT 10",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019286",
            "telephone_number": "248-904-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIOR SUPPORT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "AGRUSA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "BEHAVIOR ASSISTANT",
        "authorized_official_telephone_number": "248-904-9126"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.