Pro Active Advantage, LLC
Pro Active Advantage, LLC is a Rehabilitation Psychologist in Burley, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1369 E 16th St Ste 2Burley, ID 83318-2008
Phone: (208) 878-3423
Fax: (208) 878-3424
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Psychologist (primary) | Taxonomy 103TR0400X |
|---|
Record details
| NPI number | 1124148176 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frank Knight — Ceo · (208) 934-5880 |
| Other names | Pro Active Behavioral Health; Pro Active Behavioral Health |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
| Mailing address | 562 Shoup Ave W, Twin Falls, ID 83301-5029 |