Individual
HAILEN MATTHEW ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
(701) 478-0221
Mailing address
4725 AMBER VALLEY PKWY S STE B, FARGO, ND 58104-8614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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