Individual
RAVEN FERGUSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 US ROUTE 5 APT 6, DERBY, VT 05829-3801
(203) 981-9180
Mailing address
1035 US ROUTE 5 APT 6, DERBY, VT 05829-3801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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