Active NPI
Audrey Jean Staley
- Behavior Technician
- Meridian, ID
National Provider Identifier
1699634600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-494587
- Practice address
- 2959 S Meridian Rd
Meridian, ID 83642-7961 - Phone
- (208) 615-6389
- NPI assigned
- Jan 16, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 25-494587 | ID | Primary |
Addresses
Primary practice location
2959 S Meridian Rd
Meridian, ID 83642-7961
Mailing address
412 N Broadmore Way Apt 106
Nampa, ID 83687-3271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-494587 | ID | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1699634600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N BROADMORE WAY APT 106",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 S MERIDIAN RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427961",
"telephone_number": "208-615-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "AUDREY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-16",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": "25-494587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- St. Alphonsus Physician Services Inc (St. Alphonsus Medical Group Ten Mile)
- St. Fillan's, LLC
- Shawn Stadlbauer, DC
- Alexis Staeb, LMSW, CCLS, CFLE
- James Porter Stagg, DO
- Stallones Mobility LLC (101 Mobility)
- Standup MRI of Boise, LLC (Boise Upright MRI)
- Jennifer R Stanley, LPC
- Taylor Stansbury, MS CF-SLP
- Star Anesthesia LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.