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Individual

KOURTNEY LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4441 BRYANT IRVIN RD, FORT WORTH, TX 76132
(817) 402-8101
Mailing address
813 TENNINGTON LN, DENTON, TX 76208-5512

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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