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

Logan Detweiler

Individual provider Behavior Technician · NPI 1417411984

Logan Detweiler is a Behavior Technician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3217 S Macdill Ave
Tampa, FL 33629-1719
Phone: (813) 284-7941
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 21128 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1417411984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESAugust 24, 2020
Certification dateAugust 17, 2020
Mailing address1321 Murfreesboro Pike Ste 702, Nashville, TN 37217-2679

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