Jesse Koopman

Behavior Technician · Boise, ID

Individual Active NPI

NPI number 1023692738

Practice location

4324 S Falconrest Way
Boise, ID 83716-6673
Phone
(208) 539-7778

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NPI record

NPI
1023692738
Entity type
Individual (Type 1)
Enumeration date
May 9, 2021
Last updated
May 9, 2021
Certified
May 9, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Jesse Koopman

Jesse Koopman is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4324 S Falconrest Way, Boise, ID 83716-6673. The NPI number 1023692738 was assigned on May 9, 2021 and the record was last updated on May 9, 2021.

Frequently asked questions

What is the NPI number of Jesse Koopman?

The NPI number is 1023692738.

What is the phone number of Jesse Koopman?

The phone number listed for the practice location is (208) 539-7778.

Where is Jesse Koopman located?

4324 S Falconrest Way, Boise, ID 83716-6673.

What is the taxonomy code for Jesse Koopman?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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