Most Relevant Information
Provider Data
| NPI Number: | 1003592197 |
| Provider Name: | VIVITHA LOGANATHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
44 GOUGH ST STE 210
SAN FRANCISCO
CA
941035424
Practice Location Phone/Fax
| Phone: | 4154631429 |
| Fax: |
Provider Mailing Location
44 GOUGH ST STE 210
SAN FRANCISCO
CA
941035424
Provider Mailing Phone/Fax
| Phone: | 4154631429 |
| Fax: |