Individual
LOGAN VICTORIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16726 PATRICK AVE, OMAHA, NE 68116-2545
(402) 686-5335
Mailing address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 235-1973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0
NE
106S00000X
Behavior Technician
Primary
260506
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NE
Enumeration date
08/09/2022
Last updated
03/10/2026
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