Organization
LOGAN COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCFARLAND (CONTACT SPECIALIST)
(574) 289-4831
Entity
Organization
Contact information
Practice address
6339 ATLANTIC AVE, KALAMAZOO, MI 49009-9572
(269) 353-9533
(269) 353-9566
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
(574) 234-2075
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19060Q
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19060
BCBA
MI
Enumeration date
09/02/2015
Last updated
09/02/2015
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