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

Individual provider Behavior Technician · NPI 1922887884

Logan Shaw-Jernigan, RBT is a Behavior Technician in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

2415 Wall St SE
Conyers, GA 30013-6384
Phone: (470) 207-8845
Fax: (317) 520-8200
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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-23-268775 (GA)

Record details

NPI number1922887884
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

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