Individual
IYONA C ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
316 COLUMBIA DR APT 521C, CARROLLTON, GA 30117-2022
(706) 616-4155
Mailing address
316 COLUMBIA DR APT 521C, CARROLLTON, GA 30117-2022
(706) 616-4155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411487
GA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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