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Individual

LOGAN ELIZABETH NEUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCABA

Contact information

Practice address
601 NOBLE DR, FORT WAYNE, IN 46825-5544
(260) 420-9332
Mailing address
601 NOBLE DR, FORT WAYNE, IN 46825-5544
(260) 420-9332

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63470
IN
106E00000X
Assistant Behavior Analyst
0-22-14097
IN

Other

Enumeration date
12/05/2022
Last updated
01/04/2023
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