P Praxis·MD
● Active Type 2 · Organization

Canyon Creek Developmental Services

Local Education Agency (LEA)·Caldwell, ID· NPI 1689718520 · Enumerated 2007 · 19 years on NPI
Canyon Creek Developmental Services is 1 of 185 local education agency (lea) organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-16
Primary specialty
Local Education Agency (LEA)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moody
Cfo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 185 active local education agency (lea) providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
5214 Cleveland Blvd Ste G
Caldwell, ID 836078713
📞 2084546266fax 2084546431
Mailing address
5214 Cleveland Blvd Ste G
Caldwell, ID 836078713
📞 2084546266fax 2084546431

Authorized official

Beth A Moody
Cfo
📞 2084546266

Specialties

  • Local Education Agency (LEA) Primary
    The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools...
    ID license #3CANCRK123 taxonomy 251300000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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