Individual
ASHLEY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14895 E 14TH ST, ST#465, SAN LEANDRO, CA 94578-2922
(510) 346-7100
Mailing address
728 CAMPHOR WAY, EAST PALO ALTO, CA 94303-1915
(650) 630-3076
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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