PROGRESSIVE BEHAVIOR SERVICES


Address: 8276 N Wayne Blvd, Hayden, ID 83835
Phone: 2087624618

PROGRESSIVE BEHAVIOR SERVICES (NPI# 1508073776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508073776
Entity Type Organization
Organization Name PROGRESSIVE BEHAVIOR SERVICES
Practice Address 8276 N Wayne Blvd
Hayden
ID 83835
Mailing Address 523 Golden Willow Dr
Rexburg
ID 83440-5270
Practice Telephone 2087624618
Mailing Telephone 2083161238
Mailing Fax Number 2083595452
Enumeration Date 2007-05-17
Last Update Date 2020-08-22
Authorized Official Name MARK W WISEMAN (OWNER)
Authorized Official Telephone 2083161237
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396952354 Progressive Behavior Services Day Training, Developmentally Disabled Services 8726 N. Wayne Blvd, Hayden, ID 83835 2007-05-17
1700093796 Progressive Behavior Services Day Training, Developmentally Disabled Services 9422 W Fairview Ave, Boise, ID 83704-8101 2007-05-17
1922137355 Progressive Behavior Services Day Training, Developmentally Disabled Services 9424 W Fairview Ave, Boise, ID 83704-8101 2007-03-02
1730396722 Progressive Behavior Services Day Training, Developmentally Disabled Services 9424 W Fairview Ave, Boise, ID 83704-8101 2007-05-17
1649487638 Progressive Behavior Services Day Training, Developmentally Disabled Services 9424 W Fairview Ave, Boise, ID 83704-8101 2007-05-17

Office Location

Street Address 8276 N WAYNE BLVD
City HAYDEN
State ID
Zip Code 83835

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881212371 Ngan T Nguyen Pharmacist 161 E. Prairie Shopping Center, Hayden, ID 83835 2020-07-10
1689158461 Rskiom, Pllc Electrodiagnostic Medicine 9323 N Government Way #6, Hayden, ID 83835 2018-09-18
1235616913 Kimberly Jill Young Dietitian, Registered 8500 N. Atlas Rd., Hayden, ID 83835 2018-07-25
1851894380 Medicine Man North Pharmacy Inc Pharmacy 30585 N Roberts Rd, Hayden, ID 83835 2018-03-11
1366997322 Jennifer Amber Belmont Social Worker 8680 N Wayne Dr, Suite A, Hayden, ID 83835 2016-08-19
1548637994 Dance Dentistry Pllc Clinic/Center 1027 W Prairie Ave, Hayden, ID 83835 2015-09-01
1982012498 Dallin J. Dance Dentist 1027 W. Prairie Ave., Hayden, ID 83835 2014-07-28
1669808614 Integrated Interventions LLC Clinic/Center 2482 E. Glacier Rd., Hayden Lake, ID 83835 2013-09-23
1669812301 Caleb Jerome Foss Physical Therapist 8382 N Wayne Dr Ste 100, Hayden, ID 83835 2013-06-26
1437493798 Joseph Neal Tessendorf Chiropractor 1401 Biztown Loop, Hayden, ID 83835 2012-11-26
Find all providers in zip 83835

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy 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 individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396952354 Progressive Behavior Services Day Training, Developmentally Disabled Services 8726 N. Wayne Blvd, Hayden, ID 83835 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477086114 Teton Supported Living LLC Day Training, Developmentally Disabled Services 4101 N Creswell Way, Boise, ID 83713-2404 2017-04-10
1962889055 Community Connections South Central Day Training, Developmentally Disabled Services 212 2nd Ave W, #102 & 104, Twin Falls, ID 83301-6016 2015-04-28
1154714897 Phoenix Management LLC Day Training, Developmentally Disabled Services 10991 Deerridge Dr., Chubbuck, ID 83202 2015-03-05
1902205230 Andrea Loban Day Training, Developmentally Disabled Services 5049 Fox Creek Hollow, Victor, ID 83455-0000 2014-08-22
1336570118 Independent Living Specialists, LLC Day Training, Developmentally Disabled Services 379 Yellowstone Ave, Pocatello, ID 83201-4529 2013-12-04
1871935064 Community Connections North, Inc. Day Training, Developmentally Disabled Services 1230 N Northwood Center Ct, Suite A, Coeur D Alene, ID 83814-4941 2013-07-29
1851734107 Foundations for Independence LLC Day Training, Developmentally Disabled Services 2316 N Cole Rd Ste C, Boise, ID 83704-7365 2013-04-16
1679816912 A New Hope, LLC Day Training, Developmentally Disabled Services 19b Mountain Dr, Pocatello, ID 83204 2013-04-05
1457694176 A Plus Solutions Center Day Training, Developmentally Disabled Services 2311 Park Ave, Unit 3, Suite 12, Burley, ID 83318-2104 2013-04-01
1518208966 Learning Garden Developmental Preschool Day Training, Developmentally Disabled Services 412 E Mullan Ave, Post Falls, ID 83854-7641 2013-03-11
Find all providers with the same taxonomy

Competitor

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City HAYDEN
Zip Code 83835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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