Positive Behavior Supports Corporation

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

POSITIVE BEHAVIOR SUPPORTS CORPORATION

Practice address

1802 N Imperial Ave Ste D130
El Centro, CA 92243-1325

Phone

(855) 832-6727

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Jakob TrujilloNPI 1629824933

Title

Behavioral Assistant

Phone

(760) 554-9797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jakob Michael Trujillo

  • Day Training/Habilitation Specialist
  • El Centro, CA
  • NPI 1629824933
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1720722416",
    "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": "1802 N IMPERIAL AVE STE D130",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431325",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIOR SUPPORTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "JAKOB",
        "authorized_official_title_or_position": "BEHAVIORAL ASSISTANT",
        "authorized_official_telephone_number": "760-554-9797"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor James Pomeroy, IDC
• Abraham Ponce
• Carlos Alberto Ponce
• Theresa G Ponce, LPT
• Agustin Portillo
• Elsa Pradis
• Pranab K. Dutt D.D.S., a.P.C.
• Shlok Narayan Prasad, PHARMD
• Kate Preciado
• Prestige Transport Group LLC

• Other Technician in El Centro, CA
• Providers in El Centro, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.