Misty Dawn Rose

NPI #1417461369 in Ada, Oklahoma

Provider Information

NPI Number: 1417461369
Entity Type: Individual
Name: Misty Dawn Rose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 29, 2017
Last Updated: Nov 29, 2017

Practice Location

Address: 720 ORCHARD ST
City: Ada
State: Oklahoma
ZIP Code: 74820-2420
Phone: (580) 230-1413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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