Individual
ZANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 WOODCROFT TRL STE D, BEAVERCREEK, OH 45430-1996
(937) 705-6345
Mailing address
42 WOODCROFT TRL STE D, BEAVERCREEK, OH 45430-1996
(937) 705-6345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB368105
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/07/2019
Last updated
12/17/2021
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