Provider Demographics
NPI:1538049010
Name:SRT BEHAVIORS LLC
Entity type:Organization
Organization Name:SRT BEHAVIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELE3R
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-416-1981
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83877-0273
Mailing Address - Country:US
Mailing Address - Phone:208-416-1981
Mailing Address - Fax:
Practice Address - Street 1:3814 N PEYTON LN
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-4850
Practice Address - Country:US
Practice Address - Phone:208-416-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency