Organization Active NPI

Positive Behavior Supports Corporation

  • Community/Behavioral Health Agency
  • Stuart, FL
National Provider Identifier
1912670464
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 12, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
017422400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Positive Behavior Supports Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.