Individual
AIESHA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
(337) 475-8917
Mailing address
706 RHODES ST, LAKE CHARLES, LA 70601-4783
(337) 475-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
351919
TX
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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