Individual
MS. STEPHANIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 775-8690
Mailing address
55 OAKLAND AVE APT B3, NEW BRITAIN, CT 06053-2364
(186) 022-1835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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