Most Relevant Information
Provider Data
| NPI Number: | 1003581505 |
| Provider Name: | ISABELLA MAY FERGUSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/16/2021 |
| Last Updated: | 08/16/2021 |
Provider Practice Location
5554 RESEDA BLVD STE 203
TARZANA
CA
913566212
Practice Location Phone/Fax
| Phone: | 8187055522 |
| Fax: |
Provider Mailing Location
5554 RESEDA BLVD STE 203
TARZANA
CA
913566212
Provider Mailing Phone/Fax
| Phone: | 4255189574 |
| Fax: |