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1215718010
LOGAN JONATHAN SMITH
PEARLAND, TX
NPI
1215718010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 23-297245)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
Mr. LOGAN JONATHAN SMITH RBT
2743 SMITH RANCH RD UNIT 1202
PEARLAND, TX 77584-5219
Phone number: 832-598-2819
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Mailing Address
Mr. LOGAN JONATHAN SMITH RBT
3705 GAZELLE LN
PEARLAND, TX 77584-9291
Phone number: 901-833-8084
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