Mark Logan
Behavior Technician in Alexandria, VA. Individual provider (NPI-1).
NPI number1962378331
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1962378331
- Entity type
- Individual (NPI-1)
- Name
- Mark Logan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2805 Duke StAlexandria, VA 22314-4512
Phone 703-870-3880 · Fax 775-392-1245
Mailing address
2423 S Orange Ave # 353Orlando, FL 32806-4543
Phone 540-922-1110 · Fax 775-392-1245
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