NPI 1205139425

Kelly Ray Ross, TLMSW

Practitioner Behavior Analyst Olathe, KS

Practice location

Address: 1125 W Spruce St, Olathe, KS 66061-3123
Phone: (913) 713-7700
Mailing address: 1424 Martway Cir APT B, Olathe, KS 66061-5820

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 7950 (KS)

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Registry record

NPI: 1205139425
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2010
Record last updated: 9 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.