Individual
JOSHUA D JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IS
Contact information
Practice address
720 CORNELISON AVE APT 2306, REXBURG, ID 83440-2752
(775) 233-3934
Mailing address
720 CORNELISON AVE APT 2306, REXBURG, ID 83440-2752
(775) 233-3934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/27/2021
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