Most Relevant Information
Provider Data
| NPI Number: | 1003515461 |
| Provider Name: | LOGAN HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2023 |
| Last Updated: | 02/24/2023 |
Provider Practice Location
3727 WILDER RD
BAY CITY
MI
487062367
Practice Location Phone/Fax
| Phone: | 9899923497 |
| Fax: |
Provider Mailing Location
3727 WILDER RD
BAY CITY
MI
487062367
Provider Mailing Phone/Fax
| Phone: | 9899923497 |
| Fax: |