Active NPI
Positive Behavior Supports Corporation
- Community/Behavioral Health Agency
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- POSITIVE BEHAVIOR SUPPORTS CORPORATION
- Practice address
- 7108 S Kanner Hwy
Stuart, FL 34997-7462 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Jul 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Nolan, BCBA-D
- Title
- Ceo
- Phone
- (855) 832-6727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7108 S Kanner Hwy
Stuart, FL 34997-7462
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other practice location 1
9200 NW 39th Ave Ste 130-1020
Gainesville, FL 32606-7331
Phone (855) 832-6727
Other practice location 2
1818 S Australian Ave Ste 420
West Palm Beach, FL 33409-6447
Phone (855) 832-6727
Other practice location 3
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone (855) 832-6727
Other practice location 4
907 Outer Rd Ste B
Orlando, FL 32814-6601
Phone (855) 832-6727
Other practice location 5
5420 NW 33rd Ave # 6
Fort Lauderdale, FL 33309-6348
Phone (855) 832-6727
Other practice location 6
10300 SW 72nd St Ste 114
Miami, FL 33173-3038
Phone (855) 832-6727
Other practice location 7
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone (855) 832-6727
Other practice location 8
1909 Hillbrooke Trl Ste 3
Tallahassee, FL 32311-7902
Phone (855) 832-6727
Other practice location 9
4100 N Wickham Rd Unit 107A-260
Melbourne, FL 32935-2485
Phone (855) 832-6727
Other practice location 10
1413 Tech Blvd Ste 122
Tampa, FL 33619-7822
Phone (855) 832-6727
Other practice location 11
9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808
Phone (855) 832-6727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017422400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Positive Behavior Supports Corp
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Positive Behavior Supports Corporation
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1700024296
-
- Community/Behavioral Health Agency
- Hobe Sound, FL
- NPI 1598027039
-
- Community/Behavioral Health Agency
- Miramar, FL
- NPI 1336694827
-
- Community/Behavioral Health Agency
- Belford, NJ
- NPI 1154787711
-
- Community/Behavioral Health Agency
- Doylestown, PA
- NPI 1780472456
Locations
5420 NW 33rd Ave
Ste 6
Ft Lauderdale, FL 33309
Phone (954) 271-2323
9200 NW 39th Ave
Ste 1301020
Gainesville, FL 32606
Phone (352) 240-6162
4100 N Wickham Rd
Unit 107A260
Melbourne, FL 32935
Phone (321) 503-8182
10300 Sunset Dr
Ste 114
Miami, FL 33173
Phone (305) 508-5580
1413 Tech Blvd
Ste 122
Tampa, FL 33619
Phone (813) 305-2867
1818 S Australian Ave
Ste 420
West Palm Beach, FL 33409
Phone (561) 633-5937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1912670464",
"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",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [
{
"address_1": "9200 NW 39th Ave Ste 130-1020",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326067331",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 S Australian Ave Ste 420",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334096447",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12724 Gran Bay Pkwy W Ste 410",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322589486",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "907 Outer Rd Ste B",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328146601",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5420 NW 33rd Ave # 6",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333096348",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10300 SW 72nd St Ste 114",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331733038",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "495 Grand Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Miramar Beach",
"state": "FL",
"postal_code": "325501897",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1909 Hillbrooke Trl Ste 3",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323117902",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4100 N Wickham Rd Unit 107A-260",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329352485",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1413 Tech Blvd Ste 122",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336197822",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9160 Forum Corporate Pkwy Ste 350",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339057808",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POSITIVE BEHAVIOR SUPPORTS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-832-6727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BCBA-D"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017422400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Positive Behavior Supports Corporation
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- Positive Behavior Supports Corporation
- Positive Future Behavior Therapy
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- Nicole Postma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.