Individual
LOGAN NAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
445 SECURITY SQ, GULFPORT, MS 39507-1922
(228) 229-8297
Mailing address
445 SECURITY SQ, GULFPORT, MS 39507-1922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252271
MS
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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