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1740875970
ETHAN MORTENSEN
AURORA, CO
NPI
1740875970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-21-49692)
Enumeration Date
2021-03-09
Last Update Date
2022-12-05
Business Address
ETHAN MORTENSEN
10650 E BETHANY DRIVE
AURORA, CO 80014
Phone number: 800-536-2340
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Mailing Address
ETHAN MORTENSEN
10650 E BETHANY DRIVE
AURORA, CO 80014
Phone number:
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