Logan Nicolette Massey
Logan Nicolette Massey is a Behavior Technician in St Augustine, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
120 Palencia Village Dr # C-105164St Augustine, FL 32095-8549
Phone: (904) 201-9129
Fax: (615) 694-3915
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Specialties & licences
| Assistant Behavior Analyst (primary) | Taxonomy 106E00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1104337989 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2017 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 8, 2022 |
| Mailing address | 120 Palencia Village Dr, St Augustine, FL 32095-8549 |
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