Progressive Behavior Services

LBN: Progressive Behavior Services
Progressive Behavior Services is an health care organization with primary practice located at 9424 W Fairview Ave , Boise ID 83704-8101. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Progressive Behavior Services can be contacted via phone (208) 375-3888, or through Wiseman, Mark via phone (208) 919-9706.

Contact Information

Primary practice address
9424 W Fairview Ave Boise ID 83704-8101
Phone: (208) 375-3888
Fax: (208) 375-9444
Website:
Map and Directions
Authorized official contact:
Name: Wiseman, Mark Licensed Professional Counselor (LPC)
Phone: (208) 919-9706

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1730396722
LBN Legal business name Progressive Behavior Services
DBA Doing business as
Authorized official Wiseman, Mark Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Oct 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730396722 NPPES
Idaho MEDICAID 806976200

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