Individual
ETHAN ANDREW AHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 HAWK ST, DETROIT LAKES, MN 56501-6958
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
09/12/2024
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