Derek Mencer
Derek Mencer is a Behavior Technician in Boise, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3113 W Rose Hill StBoise, ID 83705-1651
Phone: (805) 230-3701
Fax: (805) 823-4462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1104581495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 2, 2021 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 3113 W Rose Hill St, Boise, ID 83705-1651 |
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