Individual
XAVIERA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N CENTRAL AVE APT 1225, PHOENIX, AZ 85004-2777
(775) 351-4926
Mailing address
800 N CENTRAL AVE APT 1225, PHOENIX, AZ 85004-2777
(775) 351-4926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NONE
—
Enumeration date
03/11/2022
Last updated
03/11/2022
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