Provider Demographics
NPI:1790584175
Name:FERGUSON, TOCCARA JANEA
Entity type:Individual
Prefix:
First Name:TOCCARA
Middle Name:JANEA
Last Name:FERGUSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 COUNTRY CLUB TRL
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2857
Mailing Address - Country:US
Mailing Address - Phone:317-627-2270
Mailing Address - Fax:
Practice Address - Street 1:740 COUNTRY CLUB TRL
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2857
Practice Address - Country:US
Practice Address - Phone:317-627-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician