Individual
ETHAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 773-4395
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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