Individual
TYASIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SHORTLEAF CT, GREENWOOD, SC 29649-1156
(864) 992-3491
Mailing address
115 SHORTLEAF CT, GREENWOOD, SC 29649-1156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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