Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRO ACTIVE ADVANTAGE, LLC
Active OrganizationPRO ACTIVE ADVANTAGE, LLC is a Cognitive & Behavioral Psychologist organization located in GOODING, Idaho. NPI 1730200460 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · GOODING, ID
Registration Details
- NPI Number
- 1730200460
- Provider Type
- Organization
- NPI Issued
- Apr 2, 2007 (19.377329567136 yrs)
- Last Updated
- Sep 15, 2021
Practice Information
- Address
-
215 UNIVERSITY DRGOODING, ID, 833306155Browse ID providers · Browse ZIP 83330
- Phone
- 2089345880
- Fax
- 2089345876
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.