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POSITIVE BEHAVIOR CONSULTING, LLC

Behavioral Analyst

Glen Allen, Virginia

Provider NPI: 1619122348

Organization Information:
Organization Name:  POSITIVE BEHAVIOR CONSULTING, LLC
Organization is not Subpart
Authorized Official:  JUSTIN LEE CREECH  BEHAVIOR ANALYST  804-4026134

Practice Location:
5401 BLUE HOLLY CIRCLE  GLEN ALLEN, VA 23060 US
Tel: 804-221-8745  Fax: 866-864-6286

Business Mailing Address:
P.O. BOX 3767  GLEN ALLEN, VA 23058 US
Tel: 804-221-8745  Fax: 866-864-6286

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

VA109

Other Provider Identifiers:

IssuerNumberStateType
010297796VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS VA - Page 1



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