Individual
MS. DELANEY ALEENE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-T, BS, RBT
Contact information
Practice address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
Mailing address
207 WHARTON ST SE APT 3, BLACKSBURG, VA 24060-4882
(434) 305-5127
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-217704
VA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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