NPI 1053854430
Brittany Logan, QASP
Practice location
- Address
- 10175 Fortune Pkwy Suite 903, Jacksonville, FL 32256-6746
- Phone
- (904) 538-0713
- Fax
- (904) 538-0714
- Mailing address
- 782 Foxridge Center Dr, Orange Park, FL 32065-5776
Registered specialties
Assistant Behavior Analyst
Primary
Registry record
- NPI
- 1053854430
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Dec 2016
- Record last updated
- 2 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.