Individual provider · Type 1 NPI

Logan Michael Ballard

Behavior Technician · Phoenix, AZ

NPI number 1609613363 Active

Practice location

2355 W Lemarche Ave
Phoenix, AZ 85023-4122

Call (602) 688-6925 Map

Fax (602) 296-0414

Mailing address

14191 W Calavar Rd
Surprise, AZ 85379-8623

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	RBT-24-357282 (AZ)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1609613363

Logan Michael Ballard's National Provider Identifier is 1609613363, issued on Jul 10, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 10, 2024.