Individual
YANCI ELENA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE # 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
2821 NE EVERETT ST APT 408, PORTLAND, OR 97232-3598
(971) 354-8709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A960796
OR
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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