Progressive Behavior Systems, PA
Progressive Behavior Systems, PA is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in Rupert, ID, holding Type 2 (organization) NPI 1104956390 since 2007. The authorized official on file is Jerrod Catmull, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104956390 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Progressive Behavior Systems, PA |
| Practice address | 512 6TH ST, Rupert, ID, 83350 |
| Phone | 2084364911 |
| Fax | 2084361758 |
| Enumeration date | 2007-03-06 |
| Last updated in NPPES | 2007-10-03 |
Authorized official
| Name | Jerrod Catmull |
|---|---|
| Title | Owner |
| Phone | 2083121911 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Primary | 5PBSYSTEM087 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806228000 | Medicaid | ID | — |
| 806377200 | Medicaid | ID | — |
| 807307600 | Medicaid | ID | — |
| 807353100 | Medicaid | ID | — |
Copy-ready billing details
Provider: Progressive Behavior Systems, PA NPI: 1104956390 Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency) Address: 512 6TH ST, Rupert, ID, 83350
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922295997 | Progressive Behavior Systems PA | Organization | Developmentally Disabled Services Day Training Agency | Rupert, ID |
| 1932396900 | Progressive Behavior Systems PA | Organization | Developmentally Disabled Services Day Training Agency | Rupert, ID |
| 1568659530 | Progressive Behavior Systems PA | Organization | Developmentally Disabled Services Day Training Agency | Rupert, ID |
| 1043652365 | Bonita Frazier-Shewmaker | Individual | Professional Counselor | Rupert, ID |
| 1225569338 | Tabatha Baumgartner | Individual | Clinical Social Worker | Rupert, ID |
Verify this record
Cross-check NPI 1104956390 against the authoritative CMS record: view Progressive Behavior Systems, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Progressive Behavior Systems, PA?
Who is the authorized official for Progressive Behavior Systems, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-10-03.