Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mason W Jorgensen

Individual provider Behavior Technician · NPI 1043067481

Mason W Jorgensen is a Behavior Technician in Rexburg, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

859 S Yellowstone Hwy Ste 202
Rexburg, ID 83440-5294
Phone: (307) 257-5487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1043067481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateApril 24, 2024
Mailing addressPo Box 20310 Unit #55984, Cheyenne, WY 82003-7007

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