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Individual

ADELEIGH ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
614 N 6TH ST, SPRINGFIELD, IL 62702-5313
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-522384
IL

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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