MIKENZY FERGUS

NPI: 1063144772 · Individual · Active

Primary Specialty

Behavior Technician

Practice Location

5202 FREEWAY PARK DR
RIVERDALE, UT 84405-4016 Map ↗
Phone: 801-255-5131

All Specialties & Licenses

  • Behavior Technician Primary

HIE Endpoints

  • DIRECT: credentialing@utbs.co

NPI Registration

Enumerated: 2022-06-30

Last CMS Update: 2022-06-30