Individual
LOGAN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3308 VICTORIA CT, JOHNSON CITY, TN 37604-2200
(423) 483-9789
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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