Individual
CHEYENNE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 E GRANDE BLVD, TYLER, TX 75703-3900
(512) 401-3612
Mailing address
4091 HOGAN DR UNIT 3106, TYLER, TX 75709-7007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6919
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/24/2021
Last updated
08/05/2025
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