Individual
LOGAN TAYLOR BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
5949 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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