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Individual

MARTHA DORIAN ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
113 SEABOARD LN, FRANKLIN, TN 37067-8281
(901) 262-8421
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
(901) 262-8421

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-29808
CO
103K00000X
Behavior Analyst
1464
NC
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/04/2018
Last updated
01/30/2025
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