Individual
STACI FERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
W556 WRIGHTSTOWN RD, KAUKAUNA, WI 54130-9701
(920) 205-0475
Mailing address
W556 WRIGHTSTOWN RD, KAUKAUNA, WI 54130-9701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152
WI
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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