Individual
KYLIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED LBS BCBA
Contact information
Practice address
630 FITZWATERTOWN RD STE A2, WILLOW GROVE, PA 19090-1928
(877) 933-9932
Mailing address
630 FITZWATERTOWN RD STE A2, WILLOW GROVE, PA 19090-1928
(877) 933-9932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58270
—
106E00000X
Assistant Behavior Analyst
1-21-12446
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCBA
—
PA
Enumeration date
11/02/2019
Last updated
12/27/2024
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