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

Logan Roger Stout

Individual provider Behavior Technician · NPI 1639855984

Logan Roger Stout is a Behavior Technician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone: (865) 394-6612
Fax: (865) 315-7014
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-406163 (TN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1639855984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

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