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NPI Code Detail

MEDICARE: LYDIA FERGUSON BEHAVIOR ANALYST

MEDICARE: LYDIA FERGUSON BEHAVIOR ANALYST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystMD
2106S00000XBehavior TechnicianRBT-17-38277MD

General Provider Information

NPI Number : 1649798281
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA FERGUSON BEHAVIOR ANALYST
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number : 888-958-5753
Provider Business Practice Location Address
First Line : 5300 WESTVIEW DR STE 200
Second Line :
City : FREDERICK
State : MD
Zip : 21703-8303
Country : US
Telephone Number : 800-676-5130
Fax Number : 888-958-5753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 11/19/2025

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Directions to “ LYDIA FERGUSON BEHAVIOR ANALYST” Practice Location

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