KENNETH ANTHONY LOGAN

SACRAMENTO, CA
NPI1770212755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-06-06
Last Update Date2022-06-10
Business Address
KENNETH ANTHONY LOGAN
8950 CAL CENTER DR STE 137
SACRAMENTO, CA 95826-3236
Phone number: 866-523-4268
Mailing Address
KENNETH ANTHONY LOGAN
DEPT LA 22763
PASADENA, CA 91185-2763
Phone number: 866-523-4268