Organization Active NPI

Positive Behavior Supports Corporation

  • Assistant Behavior Analyst
  • Modesto, CA
National Provider Identifier
1942988928
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
POSITIVE BEHAVIOR SUPPORTS CORPORATION
Practice address
2100 Standiford Ave Ste 12-180
Modesto, CA 95350-6522
Phone
(855) 832-6727
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Jaqueline Santacruz
Title
Behavior Assistant
Phone
(559) 672-1636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X Primary

Addresses

Primary practice location

2100 Standiford Ave Ste 12-180
Modesto, CA 95350-6522

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (772) 349-6317

National Provider Directory

National Provider Directory

Locations

2100 Standiford Ave
Ste 12180
Modesto, CA 95350
Phone (209) 371-1197

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1942988928",
    "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": "772-349-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANDIFORD AVE STE 12-180",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506522",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIOR SUPPORTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "SANTACRUZ",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "BEHAVIOR ASSISTANT",
        "authorized_official_telephone_number": "559-672-1636"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.