Provider Demographics
NPI:1538571658
Name:FERRY, REBECCA (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:FERRY
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18485 KEENELAND LN
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7155
Mailing Address - Country:US
Mailing Address - Phone:774-294-6865
Mailing Address - Fax:
Practice Address - Street 1:18485 KEENELAND LN
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7155
Practice Address - Country:US
Practice Address - Phone:774-294-6865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst