institution
Pro Active Advantage, Llc
Cognitive & Behavioral Psychologist in Gooding, Idaho
NPI 1730200460

Pro Active Advantage, Llc is a Cognitive & Behavioral Psychologist based in Twin Falls, ID and is specialized in Cognitive & Behavioral. Pro Active Advantage, Llc practices in Gooding, ID. The NPI Number for Pro Active Advantage, Llc is 1730200460 and holds a License No. (Idaho).

The current practice location address for Pro Active Advantage, Llc is 215 University Dr, Gooding, ID and can be reached out via phone at 208-934-5880 and via fax at 208-934-5876. You can also correspond with Pro Active Advantage, Llc through the mailing address at 562 SHOUP AVE W, TWIN FALLS, ID - 83301-5029 (mailing address contact number: 208-734-0407).

Location: 215 University Dr, Gooding, ID, 83301-5029
institution
Provider Profile Details
NPI Number
1730200460
Provider Name
Pro Active Advantage, Llc
Credential
Provider Entity Type
Organization
Address
215 University Dr, Gooding, ID, 83301-5029
Phone Number
208-934-5880
Fax Number
208-934-5876
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8067725 05 ID
institution
Provider Business Practice Location Address Details
Address
215 University Dr
City
State
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider Business Mailing Address Details
Address
562 Shoup Ave W
City
State
Zip
83301-5029
Phone Number
208-734-0407
Fax Number
208-734-3534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
()
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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