Individual
ZACHARY THAYER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LABA
Contact information
Practice address
691 GRAFTON ST STE 2, WORCESTER, MA 01604-3185
(508) 304-9804
Mailing address
45 ASNEBUMSKIT RD, PAXTON, MA 01612-1350
(508) 826-3205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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