Individual
DANIELLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BRAGG ST, PEABODY, MA 01960-1413
(978) 335-8690
Mailing address
2 BRAGG ST, PEABODY, MA 01960-1413
(978) 335-8690
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861568107
1861568107
—
Enumeration date
07/06/2022
Last updated
07/06/2022
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