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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.

Location: 215 University Dr, Gooding, ID, 83301-5029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Gooding
State
Idaho
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider Business Mailing Address Details
Address
215 University Dr
City
Gooding
State
Idaho
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
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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