Progressive Behavior Services in Boise - Day Training, Developmentally Disabled Services
Progressive Behavior Services - NPI 1700093796
Progressive Behavior Services is a Day Training, Developmentally Disabled Services in Boise, Idaho. Progressive Behavior Services practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Progressive Behavior Services is 1700093796. The last update date is 2020-08-22.
Progressive Behavior Services's current location address is 9422 W Fairview Ave, Boise, Idaho. You can contact this provider via phone number 2083753888. The mailing address for Progressive Behavior Services is 9422 W Fairview Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Behavior Services |
|---|---|
| Address | 9422 W Fairview Ave, Boise, Idaho |
| Phone Number | 2083753888 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wiseman Mark |
| Credentials | LPC |
| Telephone Number | 2083161237 |
NPI Number Detail
| NPI Number | 1700093796 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9422 W Fairview Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048101 |
| Phone Number | 2083753888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
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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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What is the unique 10-digit identifier code issued to Progressive Behavior Services by the Centers for Medicare & Medicaid Services?
The Progressive Behavior Services has been assigned the NPI (National Provider Identifier) 1700093796 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Progressive Behavior Services?
The Progressive Behavior Services is situated at 9422 W Fairview Ave, in the city of Boise, state of ID, with the zip code 837048101.
What is Progressive Behavior Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Progressive Behavior Services is Day Training, Developmentally Disabled Services, and the taxonomy code that categorizes this field of expertise is 251C00000X.
On what date did the Progressive Behavior Services receive its 1700093796 assignment from the Centers for Medicare & Medicaid Services?
The Progressive Behavior Services was assigned its 1700093796 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the Progressive Behavior Services's details last updated?
The information pertaining to the Progressive Behavior Services, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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