Individual
KAELEIGH LOGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14214 U ST, OMAHA, NE 68137-2629
(402) 230-5861
(531) 200-5808
Mailing address
16925 PARKER PLAZA, OMAHA, NE 68118-6013
(402) 230-5861
(531) 200-5808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68998
NE
106S00000X
Behavior Technician
RBT-19-104125
NE
Other
Enumeration date
11/21/2019
Last updated
08/29/2025
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