Logan Bowen, RBT Valid NPI
Individual provider · Behavior Technician · Midvale, UT
- NPI
- 1497343677
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-01-04
- Last updated
- 2022-03-28
Practice location
7434 S State St
Midvale, UT 84047-2014
(801) 456-9955