Individual
TAYLOR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Mailing address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000719
MI
Other
Enumeration date
08/04/2015
Last updated
08/18/2022
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