Logan Nicolette Massey

Assistant Behavior Analyst · St Augustine, FL

Individual Active NPI

NPI number 1104337989

Practice location

120 Palencia Village Dr # C-105164
St Augustine, FL 32095-8549
Phone
(904) 201-9129
Fax
(615) 694-3915

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NPI record

NPI
1104337989
Entity type
Individual (Type 1)
Enumeration date
October 19, 2017
Last updated
November 8, 2022
Certified
November 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assistant Behavior Analyst Primary 106E00000X — —
Behavior Technician 106S00000X — —
Other Technician 247200000X — —

Mailing address

120 Palencia Village Dr
St Augustine, FL 32095-8549
Phone
(904) 201-9129
Fax
(615) 694-3915

About Logan Massey

Logan Nicolette Massey is a healthcare provider registered in the NPI registry with the primary taxonomy Assistant Behavior Analyst (code 106E00000X). The practice location is 120 Palencia Village Dr # C-105164, St Augustine, FL 32095-8549. The NPI number 1104337989 was assigned on October 19, 2017 and the record was last updated on November 8, 2022.

Frequently asked questions

What is the NPI number of Logan Nicolette Massey?

The NPI number is 1104337989.

What is the phone number of Logan Massey?

The phone number listed for the practice location is (904) 201-9129.

Where is Logan Massey located?

120 Palencia Village Dr # C-105164, St Augustine, FL 32095-8549.

What is the taxonomy code for Logan Massey?

The primary taxonomy code is 106E00000X – Assistant Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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