Individual
ETHAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
6800 PARAGON PL STE 237, RICHMOND, VA 23230-1651
(804) 562-9997
(703) 435-4021
Mailing address
6800 PARAGON PL STE 237, RICHMOND, VA 23230-1651
(804) 562-9997
(703) 435-4021
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-458158
VA
Other
Enumeration date
10/17/2025
Last updated
05/19/2026
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