Individual
DEVORAH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MARTIN LUTHER KING DR, LAKEWOOD, NJ 08701-4844
(818) 304-4568
Mailing address
250 MARTIN LUTHER KING DR, LAKEWOOD, NJ 08701-4844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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