Logan M Allen

Individual provider Active NPI Behavior Technician · Warwick, RI

NPI 1083201099 · NPPES record last updated Dec 23, 2020

Key facts

NPI
1083201099
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
275 W Natick Rd Ste 400
Warwick, RI 02886-1161
Phone
(401) 826-8875
Fax
(401) 826-8926
NPI assigned
Dec 23, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC. Past
since Dec 27, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

275 W Natick Rd Ste 400
Warwick, RI 02886-1161

Mailing address

275 W Natick Rd Ste 400
Warwick, RI 02886-1161
Phone (401) 826-8875

Other providers in Warwick, RI

All providers in Warwick, RI · Behavior Technician in Rhode Island

Sources for this page

Verify at the official NPI Registry.