| NPI | 1518574516 |
|---|---|
| Former Name | CHELSEY MARIE LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 384-140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 384-140) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-03-25 |