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Individual

MR. TAYLOR FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
316 TUXEDO DR, THOMASVILLE, GA 31792-6763
(850) 728-1853
Mailing address
16238 COMPTON PALMS DR, TAMPA, FL 33647-1533

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/14/2012
Last updated
07/23/2020
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