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General NPI Number Information
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NPI Number | 1780198747
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Entity Type | Individual
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Provider Name | MRS. JILLAINE ROSS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 4141 N HENDERSON RD STE 7&8
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City | ARLINGTON
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State | VA
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Zip | 22203-2486
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Country | US
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Telephone | 571-777-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 2 VILLAGE SQ STE 210
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City | BALTIMORE
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State | MD
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Zip | 21210-1624
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Country | US
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Telephone | 571-777-9210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11726621
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License Number State | VA
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