Positive Behavior Supports Corp

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

POSITIVE BEHAVIOR SUPPORTS CORP

Practice address

800 Concord Ave
Fullerton, CA 92831-3513

Phone

(949) 572-4060

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Bouakar

Title

Behavior Assistant

Phone

(949) 572-4060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1356043251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CONCORD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313513",
            "telephone_number": "949-572-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIOR SUPPORTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BOUAKAR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BEHAVIOR ASSISTANT",
        "authorized_official_telephone_number": "949-572-4060"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Anne Porras
• Victoria Matsuyo Porter
• Kimberly Portillo
• Laura Portillo
• Kasia Celeste Posey
• Casey Postma
• Daniel Alan Potter, M.D.
• Dustin Lee Potter
• Jaime Potter, MS, AT
• Jenny Helene Potzler, M.F.T.

• Behavior Technician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.