NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

PRO ACTIVE ADVANTAGE, LLC
1369 E 16TH ST STE 2
BURLEY, ID83318-2008
 Phone: 208-878-3423
 Fax: 208-878-3424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PRO ACTIVE ADVANTAGE LLC · (Female)

NPI # 1124148176
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2007
Last updated 09/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 8073698
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRO ACTIVE ADVANTAGE, LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for PRO ACTIVE ADVANTAGE, LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Therapists
RICHARD V SMITH, PhD
526 M. SHOUP AVE. W. STE.#1
TWIN FALLS, ID
OPTIMIZATION PSYCHOLOGICAL SERVICES
1085 WHITE BIRCH AVENUE
TWIN FALLS, ID
RICK N HO CHEE, LSW
2466 ADDISON AVE. EAST
TWIN FALLS, ID
HEATHER ESKRIDGE HOYT PHD LLC
1505 MADRONA ST N #900C
TWIN FALLS, ID
ASHLYNN R NORTON
130 SOUTH LINCOLN
JEROME, ID
YUDITH HALL
130 SOUTH LINCOLN
JEROME, ID
CHIEF TAHGEE ELEMENTARY ACADEMY, INC.
38 S. HILINE ROAD
POCATELLO, ID
JEANNA C COLBORN, MA, SE
SANCTUARY 4737 AFTON PL
CHUBBUCK, ID
JASON C SCHICKEDANZ
4737 AFTON PL. SANCTUARY NTC
CHUBUCK, ID
DANIEL L TRAUGHBER, PHD
4737 AFTON PLACE, STE A
CHUBBUCK, ID

  View all Therapists
v2.403