NPI 1003586223

Tarren Nicole Johnsen

Practitioner Behavior Technician Ammon, ID

Practice location

Address: 2785 Eagle Dr APT D202, Ammon, ID 83406-5725
Phone: (208) 419-2695

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1003586223
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2021
Record last updated: 18 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.