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

Mr. Theordos Logan III

Individual provider Behavior Technician · NPI 1558186403

Mr. Theordos Logan III is a Behavior Technician in Riverdale, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

207 Uppr Riverdale RD SW
Riverdale, GA 30274-2585
Phone: (470) 944-1039
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 number1558186403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2024
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024

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