Individual
LOGAN XAVIER NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1303 S LONGMORE, MESA, AZ 85202-9607
(602) 881-0608
Mailing address
4520 E BASELINE RD APT 1079, PHOENIX, AZ 85042-6434
(602) 881-0608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-430248
AZ
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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