Individual
MRS. JESSICA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 459-6040
(260) 459-6010
Mailing address
10313 ABOITE CENTER RD, FORT WAYNE, IN 46804-5435
(260) 459-6040
(260) 459-6010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13448
IN
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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