Individual
MR. KELLY RAY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLMSW
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 713-7700
Mailing address
1424 MARTWAY CIR APT B, OLATHE, KS 66061-5820
(785) 766-7898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7950
KS
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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