Jake David Ahlgren

NPI #1366320640 in Windsor Mill, Maryland

Provider Information

NPI Number: 1366320640
Entity Type: Individual
Name: Jake David Ahlgren
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 25, 2025
Last Updated: Aug 25, 2025

Practice Location

Address: 7127 AMBASSADOR RD
City: Windsor Mill
State: Maryland
ZIP Code: 21244-3054
Phone: (312) 376-1327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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