Individual
LINDA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
11 HOPE RD STE 215, STAFFORD, VA 22554-7287
(540) 225-1020
Mailing address
3817 CARLYLE CT, FREDERICKSBURG, VA 22408-9200
(540) 214-6883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001341
VA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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