Provider Demographics
NPI:1437648227
Name:POSITIVE BEHAVIOR STEPS CORP
Entity type:Organization
Organization Name:POSITIVE BEHAVIOR STEPS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:626-893-0860
Mailing Address - Street 1:910 W GLADSTONE STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2957
Mailing Address - Country:US
Mailing Address - Phone:626-634-1565
Mailing Address - Fax:626-226-4906
Practice Address - Street 1:910 W GLADSTONE STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2957
Practice Address - Country:US
Practice Address - Phone:626-940-5180
Practice Address - Fax:626-941-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty