Organization
MAGIC VALLEY ABA THERAPY LLC
Active
Other names
Magic Valley ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA A MAHLER MA (OWNER)
(208) 421-7096
Entity
Organization
Contact information
Practice address
215 W YAKIMA STE 1, JEROME, ID 83338-6164
(208) 886-0534
(208) 278-8439
Mailing address
PO BOX 69, HAGERMAN, ID 83332-0069
(208) 421-7096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215511639
—
ID
Enumeration date
02/27/2024
Last updated
03/19/2026
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