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NPI Code Detail

MEDICARE: LAKIAYA ROSS

MEDICARE:   LAKIAYA  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 : 1639024763
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKIAYA ROSS
Provider Business Mailing Address
First Line : 3433 W 129TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-2608
Country : US
Telephone Number : 216-399-1213
Fax Number :
Provider Business Practice Location Address
First Line : 24865 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2512
Country : US
Telephone Number : 440-250-8800
Fax Number : 440-641-1170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ LAKIAYA ROSS ” Practice Location

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