NPI age
19 years
Enumerated 2007-03-30
● Active Type 2 · Organization
Pro Active Advantage, Llc
Pro Active Advantage, Llc is 1 of 12 psychologist organizations in Idaho.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Knight
Ceo
Last NPPES update
2021-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 12 active psychologist providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1369 E 16th St Ste 2
Burley, ID 833182008
Mailing address
562 Shoup Ave W
Twin Falls, ID 833015029
Authorized official
Frank J Knight
Ceo
📞 2089345880
Specialties
-
Psychologist PrimaryA psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8073698 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pro Active Behavioral Health
-
Pro Active Behavioral Health
Practice context
Single-site organization. Only one practice location on file.
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