Individual
MAYA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 W IRVING PARK RD, CHICAGO, IL 60618-3602
(920) 857-9041
Mailing address
909 W IRVING PARK RD APT 2F, CHICAGO, IL 60613-6523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64593
IL
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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