PROGRESSIVE BEHAVIOR SERVICES (NPI# 1649487638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649487638 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE BEHAVIOR SERVICES |
| Practice Address |
9424 W Fairview Ave Boise ID 83704-8101 |
| Mailing Address |
3321 S Stanford St Nampa ID 83686-8292 |
| Practice Telephone | 2083753888 |
| Practice Fax Number | 2083759444 |
| Mailing Telephone | 2089199706 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | MARK WISEMAN (OWNER) |
| Authorized Official Telephone | 2089199706 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807381600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508073776 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 8276 N Wayne Blvd, Hayden, ID 83835 | 2007-05-17 |
| 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 |
| Street Address |
9424 W FAIRVIEW AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922137355 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 9424 W Fairview Ave, Boise, ID 83704-8101 | 2007-03-02 |
| 1528396884 | Precision Services LLC | Community/Behavioral Health | 9424 W Fairview Ave, Boise, ID 83704-8101 | 2009-11-25 |
| 1730396722 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 9424 W Fairview Ave, Boise, ID 83704-8101 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| 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. |
| 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 |
| 1851734107 | Foundations for Independence LLC | Day Training, Developmentally Disabled Services | 2316 N Cole Rd Ste C, Boise, ID 83704-7365 | 2013-04-16 |
| 1700093796 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 9422 W Fairview Ave, Boise, ID 83704-8101 | 2007-05-17 |
| 1295948925 | Boise Services Group, Inc. | Day Training, Developmentally Disabled Services | 950 W State St, Boise, ID 83702-5440 | 2007-05-08 |
| 1871711598 | The Arc, Inc. | Day Training, Developmentally Disabled Services | 4402 Albion St, Boise, ID 83705-1324 | 2007-04-20 |
| 1922137355 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 9424 W Fairview Ave, Boise, ID 83704-8101 | 2007-03-02 |
| 1952437212 | Idaho Center for Autism, LLC | Day Training, Developmentally Disabled Services | 200 S Phillippi St, Boise, ID 83705-1152 | 2007-02-23 |
| 1841334885 | Employment Solutions, Inc. | Day Training, Developmentally Disabled Services | 260 S Cole Rd, Boise, ID 83709-0934 | 2007-02-15 |
| 1770715062 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2009-08-20 |
| 1730396722 | Progressive Behavior Services | Day Training, Developmentally Disabled Services | 9424 W Fairview Ave, Boise, ID 83704-8101 | 2007-05-17 |
| Find all providers in BOISE | ||||
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| 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.