Organization Active NPI

Postive Behavior Support Corp

  • Behavior Technician
  • Ailey, GA
National Provider Identifier
1790433464
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
POSTIVE BEHAVIOR SUPPORT CORP
Practice address
2476 US Highway 280
Ailey, GA 30410-3538
Phone
(404) 924-6220
NPI assigned
Mar 12, 2022
Last updated
Mar 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Grace ReevesNPI 1881321867
Title
RBT
Phone
(478) 697-2093

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
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2476 US Highway 280
Ailey, GA 30410-3538

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1790433464",
    "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": "2476 US HIGHWAY 280",
            "city": "AILEY",
            "state": "GA",
            "postal_code": "304103538",
            "telephone_number": "404-924-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSTIVE BEHAVIOR SUPPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "478-697-2093"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ailey, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.