Organization Active NPI

Treasure Valley ABA Inc.

  • Community/Behavioral Health Agency
  • Eagle, ID
National Provider Identifier
1366242182
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TREASURE VALLEY ABA INC.
Practice address
1121 E State St Ste 102D
Eagle, ID 83616-6062
Phone
(208) 800-7852
NPI assigned
Mar 19, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Zackery S Weissenberg
Title
President
Phone
(208) 800-7852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1121 E State St Ste 102D
Eagle, ID 83616-6062

Mailing address

1121 E State St Ste 102D
Eagle, ID 83616-6062
Phone (208) 800-7852

National Provider Directory

National Provider Directory

Locations

1121 E State St
Ste 102D
Eagle, ID 83616
Phone (208) 584-9060

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1366242182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E STATE ST STE 102D",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166062",
            "telephone_number": "208-800-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E STATE ST STE 102D",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166062",
            "telephone_number": "208-800-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY ABA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "WEISSENBERG",
        "authorized_official_first_name": "ZACKERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-800-7852"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.