Individual
LOGAN M CROISSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 18TH AVE STE 2, GREELEY, CO 80631-5151
(970) 400-9821
Mailing address
3609 29TH ST UNIT 2, GREELEY, CO 80634-8423
(970) 584-4545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
106E00000X
Assistant Behavior Analyst
—
CO
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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