Individual provider Active NPI

Althea Berry

  • Behavior Analyst
  • Meridian, ID
National Provider Identifier
1194467217
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-79155 Issued in ID
Practice address
1905 S Topaz Way Ste 100
Meridian, ID 83642-4477
Phone
(208) 518-0870
NPI assigned
Apr 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 1-25-79155 ID
Behavior Analyst 103K00000X 1-25-79155 ID Primary

Addresses

Primary practice location

1905 S Topaz Way Ste 100
Meridian, ID 83642-4477

Mailing address

8743 W Pine Valley LN
Boise, ID 83709-0020
Phone (715) 853-2884

Other practice location 1

2738 Manitowoc Rd
Green Bay, WI 54311-6630
Phone (920) 600-9204

Other practice location 2

1905 S Topaz Way Ste 100
Meridian, ID 83642-4477
Phone (208) 518-0870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1194467217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8743 W PINE VALLEY LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090020",
            "telephone_number": "715-853-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S TOPAZ WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424477",
            "telephone_number": "208-518-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2738 Manitowoc Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116630",
            "country_code": "US",
            "telephone_number": "920-600-9204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 S Topaz Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836424477",
            "country_code": "US",
            "telephone_number": "208-518-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ALTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "ID",
            "license": "1-25-79155",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ID",
            "license": "1-25-79155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.