Tarren Nicole Johnsen

NPI #1003586223 in Ammon, Idaho

Provider Information

NPI Number: 1003586223
Entity Type: Individual
Name: Tarren Nicole Johnsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 18, 2021
Last Updated: Sep 18, 2021

Practice Location

Address: 2785 EAGLE DR APT D202
City: Ammon
State: Idaho
ZIP Code: 83406-5725
Phone: (208) 419-2695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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