Individual
KIMBERLY LYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1508 RANCH ROAD 620 S STE 105, LAKEWAY, TX 78734-6275
(512) 920-1880
Mailing address
1601 S MOPAC EXPY STE C300, AUSTIN, TX 78746-7077
(512) 920-1030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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