Individual
MRS. HELEN L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
647 BRALORNE DR, STONE MOUNTAIN, GA 30087-4604
(972) 375-5350
(888) 769-7016
Mailing address
647 BRALORNE DR., STONE MOUNTAIN, GA 30087
(972) 375-5350
(888) 769-7016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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