Individual
KENDRA N ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, QMHS
Contact information
Practice address
850 HOWLAND WILSON RD NE, WARREN, OH 44484-2116
(216) 260-1405
(330) 632-8823
Mailing address
2359 KNOLLWOOD AVE, YOUNGSTOWN, OH 44514-1525
(216) 260-1405
(330) 632-8823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1033874474
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
02/20/2024
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