Individual
LOGAN VICTORIA YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1024 FUJI LN, CLARKSVILLE, TN 37040-8800
(931) 292-2601
(931) 292-2601
Mailing address
1024 FUJI LN, CLARKSVILLE, TN 37040-8800
(931) 292-2601
(931) 292-2601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
384
TN
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/25/2015
Last updated
07/23/2021
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