Organization Active NPI

Positive Support Behavior Corporation

  • Other Technician
  • Charlotte, NC
National Provider Identifier
1992384358
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
POSITIVE SUPPORT BEHAVIOR CORPORATION
Practice address
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone
(855) 832-6727
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Marisa Doss
Title
Register Behavior Technician
Phone
(704) 728-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Mailing address

288 Iroquois TRL
Lexington, NC 27295-8214

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL marisacappadora@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1992384358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 IROQUOIS TRL",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE SUPPORT BEHAVIOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "REGISTER BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "704-728-5810"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marisacappadora@gmail.com",
            "affiliation": "N",
            "address_1": "525 N Tryon St Ste 1600",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282020213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.