Most Relevant Information
Provider Data
| NPI Number: | 1003474396 |
| Provider Name: | REESE L FERGUSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2019 |
| Last Updated: | 05/31/2019 |
Provider Practice Location
6197 LEHMAN DR STE 102
COLORADO SPRINGS
CO
809183446
Practice Location Phone/Fax
| Phone: | 7192661000 |
| Fax: |
Provider Mailing Location
390 UNION BLVD STE 300
LAKEWOOD
CO
802286514
Provider Mailing Phone/Fax
| Phone: | 7205344221 |
| Fax: |