Derek Mencer

NPI #1104581495 in Boise, Idaho

Provider Information

NPI Number: 1104581495
Entity Type: Individual
Name: Derek Mencer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 2, 2021
Last Updated: Nov 2, 2021

Practice Location

Address: 3113 W ROSE HILL ST
City: Boise
State: Idaho
ZIP Code: 83705-1651
Phone: (805) 230-3701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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