Individual
SARAH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1851 OLD CUTHBERT RD, CHERRY HILL, NJ 08034-1415
(484) 681-2170
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-15-6443
NJ
103K00000X
Behavior Analyst
Primary
1-18-29643
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396169579
—
NJ
Enumeration date
07/07/2015
Last updated
04/06/2022
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