Individual
DIANE KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 KING MEADOW TRL, KENT, OH 44240-5635
(330) 240-0651
Mailing address
4825 KING MEADOW TRL, KENT, OH 44240-5635
(330) 240-0651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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