Provider Demographics
NPI:1306290515
Name:POSITIVE BEHAVIOR SUPPORT CONSULTING & PSYCHOLOGICAL RESOURCES PC
Entity type:Organization
Organization Name:POSITIVE BEHAVIOR SUPPORT CONSULTING & PSYCHOLOGICAL RESOURCES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGITO MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-262-8561
Mailing Address - Street 1:410 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3046
Mailing Address - Country:US
Mailing Address - Phone:631-262-8561
Mailing Address - Fax:631-261-6052
Practice Address - Street 1:410 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3046
Practice Address - Country:US
Practice Address - Phone:631-262-8561
Practice Address - Fax:631-261-6052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014498251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health