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Individual

LOGAN WURSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
4348 E GRAND RIVER AVE, HOWELL, MI 48843-8554
(734) 929-2620
Mailing address
15510 1/2 DAYTON RD, MONROE, MI 48161-3783

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001623
MI
106S00000X
Behavior Technician

Other

Enumeration date
07/18/2017
Last updated
11/08/2021
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