Logan Elizabeth Bouchillon
Logan Elizabeth Bouchillon is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6339 Argyle Forest Blvd Ste 4Jacksonville, FL 32244-6601
Phone: (904) 613-5005
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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 | 1295352235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 25, 2020 |
| Last updated in NPPES | June 25, 2020 |
| Certification date | June 25, 2020 |
| Mailing address | 6339 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6601 |
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