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

Melissa Logan

Individual provider Behavior Technician · NPI 1295500759

Melissa Logan is a Behavior Technician in Peoria, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4921 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (844) 263-1613
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1295500759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address2550 N Hollywood Way Ste 301, Burbank, CA 91505-5025

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