Ethan T Andersen
Ethan T Andersen is a Behavior Technician in Largo, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
7441 114th Ave Ste 604Largo, FL 33773-5124
Phone: (727) 492-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 25425748 (FL) |
|---|
Record details
| NPI number | 1154115608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2025 |
| Last updated in NPPES | April 10, 2025 |
| Certification date | April 10, 2025 |
| Mailing address | 14242 River Story Dr, Jacksonville, FL 32223-2402 |
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