Samuel Foster Ross, SLPA, RBT

NPI #1952805475 in Southlake, Texas

Provider Information

NPI Number: 1952805475
Entity Type: Individual
Name: Samuel Foster Ross, SLPA, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: SLPA, RBT
Enumeration Date: Mar 20, 2018
Last Updated: Mar 20, 2018

Practice Location

Address: 2104 GREENBRIAR DR
City: Southlake
State: Texas
ZIP Code: 76092-8355
Phone: (817) 442-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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