| Pro Active Behavioral Health | |
|
215 University Dr Gooding ID 83330-6155 | |
| (208) 934-5880 | |
| (208) 934-5876 |
| Full Name | Pro Active Behavioral Health |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 215 University Dr, Gooding, Idaho |
| Authorized Official Name and Position | Frank J. Knight (CEO) |
| Authorized Official Contact | 2089345880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Active Behavioral Health 562 Shoup Ave W Twin Falls ID 83301-5029 Ph: (208) 734-0407 | Pro Active Behavioral Health 215 University Dr Gooding ID 83330-6155 Ph: (208) 934-5880 |
| NPI Number | 1730200460 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730200460 | NPI | - | NPPES |
| 8067725 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
Behavior Strategies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 14th Ave E, Gooding, ID 83330 Phone: 208-308-8585 Fax: 208-934-4688 | |
Pro Active Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 University Dr, Gooding, ID 83330 Phone: 208-934-5880 Fax: 208-934-5876 | |
Pro Active Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 University Dr, Gooding, ID 83330 Phone: 208-934-5880 Fax: 208-934-5876 |