Progressive Behavior Systems, Pa in Rupert - Day Training, Developmentally Disabled Services
Progressive Behavior Systems, Pa - NPI 1104956390
Progressive Behavior Systems, Pa is a Day Training, Developmentally Disabled Services in Rupert, Idaho. Progressive Behavior Systems, Pa practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Progressive Behavior Systems, Pa is 1104956390. The last update date is 2007-10-03.
Progressive Behavior Systems, Pa's current location address is Po Box 714, Rupert, Idaho. You can contact this provider via phone number 2084364911 and fax number 2084361758. The mailing address for Progressive Behavior Systems, Pa is Po Box 714, Rupert, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Behavior Systems, Pa |
|---|---|
| Address | Po Box 714, Rupert, Idaho |
| Phone Number | 2084364911 |
| Fax Number | 2084361758 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Catmull K Jerrod |
| Telephone Number | 2083121911 |
NPI Number Detail
| NPI Number | 1104956390 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | Po Box 714 |
|---|---|
| City | Rupert |
| State | Idaho (ID) |
| Post Code | 833500714 |
| Phone Number | 2084364911 |
| Fax Number | 2084361758 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 5PBSYSTEM087 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806228000 | ID | -- | |
| 806377200 | ID | -- | |
| 807307600 | ID | -- | |
| 807353100 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Progressive Behavior Systems, Pa?
The Progressive Behavior Systems, Pa has been issued the NPI (National Provider Identifier) 1104956390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Progressive Behavior Systems, Pa is physically located?
The Progressive Behavior Systems, Pa is situated at the following address: Po Box 714, Rupert, ID 833500714.
What is Progressive Behavior Systems, Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Progressive Behavior Systems, Pa is Day Training, Developmentally Disabled Services, and the corresponding taxonomy classification code for this specialized field is 251C00000X.
When did the Progressive Behavior Systems, Pa receive its 1104956390?
The Progressive Behavior Systems, Pa was issued its 1104956390 on 2007-03-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Progressive Behavior Systems, Pa's details last updated?
The information pertaining to the Progressive Behavior Systems, Pa, including its address, specialty, and other details, was most recently updated on 2007-10-03.