Individual
BRIGHLEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
106 S 2ND AVE, WALLA WALLA, WA 99362-3001
(800) 781-5536
Mailing address
106 S 2ND AVE, WALLA WALLA, WA 99362-3001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61290923
WA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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