Logan Community Resources

Behavior Analyst · South Bend, IN

Organization Active NPI

NPI number 1639558331

Practice location

2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone
(574) 289-4831
Fax
(574) 234-2075

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NPI record

NPI
1639558331
Entity type
Organization (Type 2)
Enumeration date
May 27, 2015
Last updated
May 27, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-15-18324 IN

Authorized official

Name
Mr. Dan Ryan
Title
Dir Sonya Ansari Center for Autism
Phone
(574) 289-4831

About Logan Community Resources

Logan Community Resources is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2505 E Jefferson Blvd, South Bend, IN 46615-2635. The NPI number 1639558331 was assigned on May 27, 2015 and the record was last updated on May 27, 2015.

Logan Community Resources lists a license in the registry: #1-15-18324 (IN) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Dan Ryan, Dir Sonya Ansari Center for Autism.

Frequently asked questions

What is the NPI number of Logan Community Resources?

The NPI number is 1639558331.

What is the phone number of Logan Community Resources?

The phone number listed for the practice location is (574) 289-4831.

Where is Logan Community Resources located?

2505 E Jefferson Blvd, South Bend, IN 46615-2635.

What is the taxonomy code for Logan Community Resources?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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