NPI 1104956390

Progressive Behavior Systems, PA

Organisation Developmentally Disabled Services Day Training Agency Rupert, ID

Practice location

Address: 512 6th St, Rupert, ID 83350-1621
Phone: (208) 436-4911
Fax: (208) 436-1758
Mailing address: PO Box 714, Rupert, ID 83350-0714

Authorised official

Name: Jerrod K Catmull
Title: Owner
Phone: (208) 312-1911

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 5PBSYSTEM087 (ID)

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1104956390
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 3 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.