Individual
RICHARD FERGUSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
131 ROYAL CIR, MADISON HTS, VA 24572-5013
(434) 420-4831
Mailing address
131 ROYAL CIR, MADISON HTS, VA 24572-5013
(434) 420-4831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001147
VA
Other
Enumeration date
03/01/2021
Last updated
03/02/2021
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