Individual
HALEY S LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2401 NEW HARTFORD RD, OWENSBORO, KY 42303-1312
(567) 204-4693
Mailing address
415 E 21ST ST, OWENSBORO, KY 42303-3810
(567) 204-4693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
294194
KY
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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