Logan Michael Ballard
Logan Michael Ballard is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
2355 W Lemarche AvePhoenix, AZ 85023-4122
Phone: (602) 688-6925
Fax: (602) 296-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-357282 (AZ) |
|---|
Record details
| NPI number | 1609613363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2024 |
| Last updated in NPPES | July 10, 2024 |
| Certification date | July 2, 2024 |
| Mailing address | 14191 W Calavar Rd, Surprise, AZ 85379-8623 |
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