NPIMap

Organization Active NPI

Positive Behavioral Solutions, LLC

Doing business as The Southcoast Autism Center

  • Behavior Analyst
  • Fairhaven, MA
National Provider Identifier
1356718613
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
POSITIVE BEHAVIORAL SOLUTIONS, LLC
Doing business as
The Southcoast Autism Center
Practice address
69 Main St
Fairhaven, MA 02719-2923
Phone
(508) 997-1311
Fax
(508) 997-1312
NPI assigned
Aug 21, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Sinead Petersen, PHD, BCBA-D, LMHC
Title
Executive Director
Phone
(774) 205-0227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

69 Main St
Fairhaven, MA 02719-2923

Mailing address

9 Douglas Cor
Rochester, MA 02770-1010
Phone (774) 205-0227

Other names 1

  • The Southcoast Autism Center Doing business as

National Provider Directory

National Provider Directory

Locations

69 Main St
Fairhaven, MA 02719
Phone (508) 997-1311

657 Quarry St
Fall River, MA 02723
Phone (508) 329-9819

136 William St
Fl 1
Springfield, MA 01105

107 Audubon Rd
Bldg 1
Wakefield, MA 01880
Phone (617) 284-4985

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1356718613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DOUGLAS COR",
            "city": "ROCHESTER",
            "state": "MA",
            "postal_code": "027701010",
            "telephone_number": "774-205-0227",
            "fax_number": "508-997-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027192923",
            "telephone_number": "508-997-1311",
            "fax_number": "508-997-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "SINEAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "774-205-0227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D, LMHC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Southcoast Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.