Joshua D Jensen, IS

NPI #1376206698 in Rexburg, Idaho

Provider Information

NPI Number: 1376206698
Entity Type: Individual
Name: Joshua D Jensen, IS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: IS
Enumeration Date: Oct 14, 2021
Last Updated: Oct 27, 2021

Practice Location

Address: 720 CORNELISON AVE APT 2306
City: Rexburg
State: Idaho
ZIP Code: 83440-2752
Phone: (775) 233-3934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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