Individual
MS. JESSICA ROSE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1404 W IDAHO ST STE 101, BOISE, ID 83702-5210
(208) 968-7470
Mailing address
1404 W IDAHO ST STE 101, BOISE, ID 83702-5210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB834227
ID
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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