Mr. Ahmad Keenan Taj Logan
Mr. Ahmad Keenan Taj Logan is a Behavior Technician in McKinleyville, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1622 Bartow RdMcKinleyville, CA 95519-4309
Phone: (925) 497-6601
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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 | 1073238069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2022 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | September 27, 2022 |
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