Brent Logan, M.A, RBT Valid NPI
Individual provider · Behavior Technician · Dumfries, VA
- NPI
- 1750034120
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- BACB724383 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-01-27
- Last updated
- 2022-01-27
Practice location
3322 William Johnston Ln Apt 32
Dumfries, VA 22026-2163
(703) 434-0879