Individual
SCOTT ROSS JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1087 E PARK BLVD, SUITE 100, BOISE, ID 83712
(208) 369-9168
Mailing address
11503 W GILA DR, KUNA, ID 83634-2641
(808) 313-0735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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