Healthcare Provider Details

I. General information

NPI: 1083305544
Provider Name (Legal Business Name): COEUR CONNECTIONS BEHAVIOR THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 S BAKER LN
POST FALLS ID
83854-4609
US

IV. Provider business mailing address

1373 S BAKER LN
POST FALLS ID
83854-4609
US

V. Phone/Fax

Practice location:
  • Phone: 209-499-6311
  • Fax:
Mailing address:
  • Phone: 208-516-1514
  • Fax: 855-959-2480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE TOPIE
Title or Position: BCBA
Credential: MA ABA
Phone: 208-516-1514