Individual provider · Type 1 NPI

Lily Logan

Behavior Technician · San Mateo, CA

NPI number 1861362972 Active

Practice location

1900 S Norfolk St
San Mateo, CA 94403-1164

Call (650) 242-0179 Map

Mailing address

1900 S Norfolk St Ste 210
San Mateo, CA 94403-1182

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None listed

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 1861362972

Lily Logan's National Provider Identifier is 1861362972, issued on Nov 5, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Mateo, CA. The record was last updated on Nov 5, 2025.