Individual
HAILEY NICOLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 10TH AVE S, NAMPA, ID 83651-3832
(208) 468-0850
Mailing address
220 10TH AVE S, NAMPA, ID 83651-3832
(208) 468-0850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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