LOGAN SHAW-JERNIGAN

CONYERS, GA
NPI1922887884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-23-268775)
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
LOGAN SHAW-JERNIGAN RBT
2415 WALL ST SE
CONYERS, GA 30013-6384
Phone number: 470-207-8845
Mailing Address
LOGAN SHAW-JERNIGAN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885