Individual provider · Type 1 NPI

Logan Nicolette Massey

Assistant Behavior Analyst · St. Augustine, FL

NPI number 1104337989 Active

Practice location

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

Call (904) 201-9129 Map

Fax (615) 694-3915

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Other Technician 247200000XNone listed
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1104337989

Logan Nicolette Massey's National Provider Identifier is 1104337989, issued on Oct 19, 2017. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 8, 2022.