| Organization Name: | PROACTIVE BEHAVIORAL SERVICES, INC. |
| NPI Number: | 1043437049 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD R. LENDVAY (PRESIDENT/OWNER) |
| Mailing Address: | 1644 W. Colonial Pkwy. Inverness |
| State: | IL US |
| Postal Code: | 600671207 |
| Phone Number: | 8477764500 |
| Fax Number: | 8477764724 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 05/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071--007171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |