Individual
ALEXANDER EUGENE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 BIELENBERG DR STE 102104, WOODBURY, MN 55125-1700
(612) 445-8324
Mailing address
451 FAIRVIEW AVE N APT 103, SAINT PAUL, MN 55104-3543
(651) 302-9620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
04/22/2022
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