Most Relevant Information
Provider Data
| NPI Number: | 1003659897 |
| Provider Name: | LOGAN WILKIE JOINES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
5121 KINGDOM WAY STE 100
RALEIGH
NC
276076063
Practice Location Phone/Fax
| Phone: | 8004422762 |
| Fax: |
Provider Mailing Location
5121 KINGDOM WAY STE 100
RALEIGH
NC
276076063
Provider Mailing Phone/Fax
| Phone: | 8004422762 |
| Fax: |