Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan David Willis

Individual provider Behavior Technician · NPI 1407550783

Logan David Willis is a Behavior Technician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

13905 Technology Dr
Oklahoma City, OK 73134-1054
Phone: (405) 389-4530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (OK)

Record details

NPI number1407550783
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

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