Individual
ALLISON JANINA LYN JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1905 S TOPAZ WAY # 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
3326 N WHISTLER LN APT 106, BOISE, ID 83703-6234
(805) 369-4803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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