Provider Demographics
NPI:1265323414
Name:POSITIVE VIBES BEHAVIORAL CONSULTANT, LLC
Entity type:Organization
Organization Name:POSITIVE VIBES BEHAVIORAL CONSULTANT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RESTREPO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-282-7676
Mailing Address - Street 1:2699 STIRLING RD STE C306A
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6564
Mailing Address - Country:US
Mailing Address - Phone:305-282-7676
Mailing Address - Fax:754-946-2055
Practice Address - Street 1:2699 STIRLING RD STE C306A
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6564
Practice Address - Country:US
Practice Address - Phone:305-282-7676
Practice Address - Fax:754-946-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health