Individual
JOHNATHAN JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS.IS.
Contact information
Practice address
13951 W BATTENBERG CT, BOISE, ID 83713-1275
(208) 585-4941
Mailing address
13951 W BATTENBERG CT, BOISE, ID 83713-1275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/27/2021
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