Individual
KHALIAH DA'SHONA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 N 28TH ST, MILWAUKEE, WI 53209-6115
(262) 232-1844
Mailing address
4519 N 28TH ST, MILWAUKEE, WI 53209-6115
(262) 232-1844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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