Individual
JORDAN THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(888) 392-8642
Mailing address
1590 BOWER DR APT 1304, IDAHO FALLS, ID 83404-5467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/12/2024
Last updated
04/23/2025
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