Cecil Ross

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

731 Bielenberg Dr Ste 102-105
Woodbury, MN 55125-1700

Phone

(612) 445-8326

Fax

(612) 445-8325

NPI assigned

Nov 1, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1346905833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 AURORA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044814",
            "telephone_number": "904-477-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BIELENBERG DR STE 102-105",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251700",
            "telephone_number": "612-445-8326",
            "fax_number": "612-445-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CECIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HRhelp@caravelautism.com",
            "affiliation": "N",
            "address_1": "731 Bielenberg Dr Ste 102-105",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551251700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicky Verlene Rose
• Sarah Rosenberg-Scott, M.D. MPH
• Crystal Jane Rosenbrook, RDH
• Sara Beth Roslansky
• Abby J Ross, PA-C
• Raeann Marie Rosso, LADC
• Chandra Rochelle Roth, MA
• Robert M Rothstein, MS, LP
• Lisa Carey Rounds, OTR/L
• Rebecca Rouse, DPT

• Behavior Technician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.