NPI 1073202834

Janzsen Ephraim Olsen

Practitioner Behavior Technician Rexburg, ID

Practice location

Address: 859 S Yellowstone Hwy STE 202, Rexburg, ID 83440-5294
Phone: (307) 257-5487
Mailing address: PO Box 20130 Unit 55984, Cheyenne, WY 83303-5949

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1073202834
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2023
Record last updated: 5 May 2023

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.