MEDICARE: JOURDAN ALEXANDRA SALINAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		ID

General Provider Information

NPI Number	:	1689523474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOURDAN ALEXANDRA SALINAS

Provider Business Mailing Address
First Line	:	1317 HELENA DR # 2
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-6370
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 HELENA DR # 2
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-6370
Country	:	US
Telephone Number	:	208-504-8260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ JOURDAN ALEXANDRA SALINAS ” Practice Location

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