Individual
LOGAN BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
325 W 9TH ST NE, ROME, GA 30165-2725
(470) 473-5920
(888) 979-8504
Mailing address
345 PARKWAY 575, WOODSTOCK, GA 30188-3897
(470) 473-5920
(888) 979-8504
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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