Individual
CALLIE MICHELLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 OZARK TRAIL DR STE 50, ELLISVILLE, MO 63011-2185
(636) 398-2500
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1956
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025033316
MO
106S00000X
Behavior Technician
RBT-23-285207
—
Other
Enumeration date
08/20/2020
Last updated
09/24/2025
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