Logan Mallery
Logan Mallery is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4829 E Beltline Ave NE Ste 310Grand Rapids, MI 49525-9350
Phone: (616) 279-6414
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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 | 1316467285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 22, 2017 |
| Last updated in NPPES | December 29, 2021 |
| Certification date | December 29, 2021 |
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