Logan Small
Logan Small is a Behavior Technician in Capitola, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2121 41st AveCapitola, CA 95010-2056
Phone: (303) 989-8169
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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 | 1043882749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 13, 2021 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |
| Mailing address | 2121 41st Ave, Capitola, CA 95010-2056 |
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2121 41st Ave, Capitola, CA 95010-2056 · (303) 989-8169