Logan Blackmon
Logan Blackmon is a Behavior Technician in Bowling Green, Kentucky. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1711 Destiny Ln Ste 107Bowling Green, KY 42104-1067
Phone: (270) 702-2464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1245886563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 13, 2019 |
| Last updated in NPPES | August 13, 2019 |
| Mailing address | 1321 Murfreesboro Pike Ste 702, Nashville, TN 37217-2679 |
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