Individual
DAWSON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 BARRET BLVD STE A, HENDERSON, KY 42420-4931
(270) 827-4652
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-303350
IN
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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