| NPI | 1164754263 |
|---|---|
| Former Name | JANE ELLEN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-011) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1084454) |
| 103T00000X Psychologist (Licence: LA 1113) | |
| 103TS0200X Psychologist School (Licence: LA 1113) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2022-07-21 |