OrganizationActive
Pro Active Advantage, LLC
NPI 1124148176 · Rehabilitation Psychologist · Burley, ID
Provider details
- NPI number
- 1124148176
- Entity type
- Organization
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Frank Knight, Ceo(208) 934-5880
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1369 E 16th St Ste 2
Burley, ID 83318-2008
Phone: (208) 878-3423
Fax: (208) 878-3424
Street-level locationGet directions
Mailing address
562 Shoup Ave W
Twin Falls, ID 83301-5029
Other names (DBA / former)
- Doing business as
- Pro Active Behavioral Health
- Doing business as
- Pro Active Behavioral Health
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.