Partners in Hope Behavior Learning Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PARTNERS IN HOPE BEHAVIOR LEARNING CENTER

Practice address

676 West Shoup
Suite 4
Twin Falls, ID 83301

Phone

(208) 736-3932

Fax

(208) 736-6530

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wanda Fetterly

Title

Ceo Behavior Therapist

Phone

(208) 736-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093927923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 WEST SHOUP",
            "address_2": "SUITE 4",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-736-3932",
            "fax_number": "208-736-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 WEST SHOUP",
            "address_2": "SUITE 4",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-736-3932",
            "fax_number": "208-736-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HOPE BEHAVIOR LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FETTERLY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "208-736-3932"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8070894",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bing G Parkinson, MD
• Neil Parkinson, PHARMD
• Tara Parks, B.A.
• Sean Parrish, PHARMD
• Leslimar Partida, TEMPORARY OT
• Rebecca Jean Partridge, CF-SLP
• Gary R Pate, MA
• Paths to Independence Occupational Therapy Services PLLC
• Kenneth E Pattersom, DDS
• Bill Jay Patterson Sr.

• Developmentally Disabled Services Day Training Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.