Individual
NATASHA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 N BROWN RD, ROSWELL, NM 88201-9729
(575) 420-8481
Mailing address
4410 N BROWN RD, ROSWELL, NM 88201-9729
(575) 420-8481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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