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

Logan Fonteyn

Individual provider Behavior Technician · NPI 1912714536

Logan Fonteyn is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5447 E Beaumont Center Blvd Apt 185
Tampa, FL 33634-5210
Phone: (888) 754-0398
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1912714536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address31790 Us Highway 19 N Apt 185, Palm Harbor, FL 34684-3720

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