Trista Marie Jensen, MPA, BA-SOCIAL WORK

NPI #1003591033 in Chubbuck, Idaho

Provider Information

NPI Number
1003591033
Entity Type
Individual
Name
Trista Marie Jensen, MPA, BA-SOCIAL WORK
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
MPA, BA-SOCIAL WORK
Enumeration Date
Jun 19, 2023
Last Updated
Jun 19, 2023

Practice Location

Address
526 RAVEN WAY APT A
State
Idaho
ZIP Code
83202-1926
Phone
(208) 380-0978

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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