Individual
RUTH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12637 S 265 W STE 300, DRAPER, UT 84020-5403
(801) 998-8428
Mailing address
12637 S 265 W STE 300, DRAPER, UT 84020-5403
(801) 998-8428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
10/14/2020
Last updated
08/12/2024
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