LOGAN MICHAEL BALLARD

PHOENIX, AZ
NPI1609613363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AZ  RBT-24-357282)
Enumeration Date2024-07-10
Last Update Date2024-07-10
Business Address
LOGAN MICHAEL BALLARD
2355 W LEMARCHE AVE
PHOENIX, AZ 85023-4122
Phone number: 602-688-6925
Mailing Address
LOGAN MICHAEL BALLARD
14191 W CALAVAR RD
SURPRISE, AZ 85379-8623
Phone number: 623-755-7360
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