Healthcare Provider Details

I. General information

NPI: 1437873734
Provider Name (Legal Business Name): ABILITY INTERVENTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3323 4TH ST
LEWISTON ID
83501-4423
US

IV. Provider business mailing address

PO BOX 2169
LEWISTON ID
83501-1420
US

V. Phone/Fax

Practice location:
  • Phone: 208-553-0402
  • Fax:
Mailing address:
  • Phone: 208-553-0402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHARLENE RICARD
Title or Position: OWNER
Credential: BCBA
Phone: 208-553-8650