Individual
TIA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 W VIKING RD, LAS VEGAS, NV 89103-6004
(619) 366-1546
Mailing address
4051 W VIKING RD, LAS VEGAS, NV 89103-6004
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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