| Treasure Valley Aba Inc. | |
|
1121 E State St Ste 102d Eagle ID 83616-6062 | |
| (208) 800-7852 | |
| Not Available |
| Full Name | Treasure Valley Aba Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1121 E State St Ste 102d, Eagle, Idaho |
| Authorized Official Name and Position | Zackery S Weissenberg (PRESIDENT) |
| Authorized Official Contact | 2088007852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Aba Inc. 1121 E State St Ste 102d Eagle ID 83616-6062 Ph: (208) 800-7852 | Treasure Valley Aba Inc. 1121 E State St Ste 102d Eagle ID 83616-6062 Ph: (208) 800-7852 |
| NPI Number | 1366242182 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366242182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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