Pro Active Advantage, LLC
NPI #1730200460 in Gooding, Idaho
Provider Information
- NPI Number
- 1730200460
- Entity Type
- Organization
- Organization Name
- Pro Active Advantage, LLC
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Sep 15, 2021
Practice Location
Authorized Official
- Name
- FRANK J. KNIGHT
- Title
- CEO
- Phone
- (208) 934-5880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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