Jeremiah Randolph Jensen
Jeremiah Randolph Jensen is a Behavior Technician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
1087 E Park BlvdBoise, ID 83712
Phone: (208) 369-9168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (ID) |
|---|
Record details
| NPI number | 1558044685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 7, 2023 |
| Last updated in NPPES | August 7, 2023 |
| Certification date | August 3, 2023 |
| Mailing address | 1566 E Independence St, Boise, ID 83706-5630 |
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1087 E Park Blvd Ste 100, Boise, ID 83712 · (208) 369-9168