Individual
RONALD LEE JEANBLANC II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 1/2 EAST STREET, COTTONWOOD, ID 83522
(208) 790-0497
Mailing address
PO BOX 42, COTTONWOOD, ID 83522-0042
(208) 790-0497
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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