Individual
MADISON FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
846 E GRAND RIVER AVE UNIT B, HOWELL, MI 48843-2432
(517) 672-5777
Mailing address
846 E GRAND RIVER AVE UNIT B, HOWELL, MI 48843-2432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-147976
MI
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
MI
Enumeration date
04/01/2021
Last updated
07/14/2025
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