Pro Active Advantage, Llc, NPI 1730200460
Cognitive & Behavioral Psychologist in Gooding, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1730200460
NPI Entity Type Organization
Provider Name Pro Active Advantage, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 215 University Dr, Gooding, ID, US
Provider Mailing Address 562 Shoup Ave W, Twin Falls, ID, US, 833015029
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Frank J. Knight
Official Position CEO
Phone 208-934-5880

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

103TB0200X

Taxonomy Name Cognitive & Behavioral Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

Description A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Other Organization Name

Pro Active Behavioral Health
Doing Business As

Business Address

Pro Active Advantage, Llc
215 University Dr

Gooding, ID, US

Phone: 208-934-5880
Fax: 208-934-5876

Mailing Address

Pro Active Advantage, Llc
562 Shoup Ave W
Twin Falls, ID, US
ZIP 833015029
Phone: 208-734-0407
Fax: 208-734-3534

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