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Shane Bendtsen

Behavior Technician in Boise, ID. Individual provider (NPI-1).

NPI number1093662934
StatusActive
Last updated in NPPESMar 11, 2026

Details

NPI
1093662934
Entity type
Individual (NPI-1)
Name
Shane Bendtsen
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2026
Certification date
Mar 11, 2026
Last updated
Mar 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4745 N Castle Hills Ave
Boise, ID 83703-2765

Phone 208-626-4805

Mailing address

3415 Bataan Memorial W
Las Cruces, NM 88012-5012

Phone 505-392-3482

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