Provider Demographics
NPI:1447905922
Name:JMZ POSITIVE BEHAVIORAL OUTLOOK PLLC
Entity type:Organization
Organization Name:JMZ POSITIVE BEHAVIORAL OUTLOOK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:903-880-7531
Mailing Address - Street 1:113 CREEKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-5105
Mailing Address - Country:US
Mailing Address - Phone:903-880-7531
Mailing Address - Fax:
Practice Address - Street 1:113 CREEKVIEW LN
Practice Address - Street 2:
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114-5105
Practice Address - Country:US
Practice Address - Phone:903-880-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty