Individual
DANA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
416 W 15TH ST, EDMOND, OK 73013-3747
(405) 572-6072
Mailing address
416 W 15TH ST, EDMOND, OK 73013-3747
(405) 572-6072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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