Jesse Koopman
Jesse Koopman is a Behavior Technician in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4324 S Falconrest WayBoise, ID 83716-6673
Phone: (208) 539-7778
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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 | 1023692738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2021 |
| Last updated in NPPES | May 9, 2021 |
| Certification date | May 9, 2021 |
| Mailing address | 4324 S Falconrest Way, Boise, ID 83716-6673 |
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