North Star Child Development Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1NSCDC136 Issued in ID

Legal business name

NORTH STAR CHILD DEVELOPMENT CENTER

Practice address

1583 W Dalton Ave
Coeur D Alene, ID 83815-8962

Phone

(208) 765-6828

Fax

(208) 765-5893

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Billie Jo Davis, BCBA

Title

President

Phone

(208) 765-6828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760684153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 W DALTON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158962",
            "telephone_number": "208-765-6828",
            "fax_number": "208-765-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 W DALTON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158962",
            "telephone_number": "208-765-6828",
            "fax_number": "208-765-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR CHILD DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-765-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "1NSCDC136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Idaho Treatment Associates
• North Idaho Urology, PLLC
• North Idaho Weight Loss, LLC.
• North Idaho Wound Care PLLC
• North Lakes Family Center
• Northwest Behavioral Healthcare
• Northwest Counseling LLC
• Northwest Endodontics PC
• Northwest Nutrition Consulting
• Northwest Physicians and Surgeons

• Clinic/Center in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinic/Center 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.