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NPI Code Detail

MEDICARE: ANDREW MICHAEL ROSS

MEDICARE: ANDREW MICHAEL ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1417816687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MICHAEL ROSS
Provider Business Mailing Address
First Line : 919 TERRELL CIR APT 121
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5866
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 214-838-7938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ ANDREW MICHAEL ROSS ” Practice Location

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