Jesse Koopman

NPI #1023692738 in Boise, Idaho

Provider Information

NPI Number: 1023692738
Entity Type: Individual
Name: Jesse Koopman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 9, 2021
Last Updated: May 9, 2021

Practice Location

Address: 4324 S FALCONREST WAY
City: Boise
State: Idaho
ZIP Code: 83716-6673
Phone: (208) 539-7778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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