Individual
PHALLA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 HOLLOMAN PL, ROSWELL, NM 88203-8016
(575) 626-6411
Mailing address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 273-2451
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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