Individual provider · NPI-1

Logan M Allen

Behavior Technician · Warwick, RI

NPI number1083201099
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1083201099
Entity type
Individual (NPI-1)
Name
Logan M Allen
Sex
Male
Sole proprietor
No
Enumeration date
Dec 23, 2020
Certification date
Dec 23, 2020
Last updated
Dec 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

275 W Natick Rd Ste 400
Warwick, RI 02886-1161

Phone 401-826-8875 · Fax 401-826-8926

Mailing address

275 W Natick Rd Ste 400
Warwick, RI 02886-1161

Phone 401-826-8875 · Fax 401-826-8926

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Warwick, RI