Active NPI
Althea Berry
- Behavior Analyst
- Meridian, ID
National Provider Identifier
1194467217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-79155
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.