Active NPI
Sarah Logan, BCBA
- Behavior Analyst
- Cherry Hill, NJ
National Provider Identifier
1376926501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29643
- Practice address
- 1851 Old Cuthbert Rd
Cherry Hill, NJ 08034-1415 - Phone
- (484) 681-2170
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-15-6443 | NJ | |
| Behavior Analyst | 103K00000X | 1-18-29643 | NJ | Primary |
Addresses
Primary practice location
1851 Old Cuthbert Rd
Cherry Hill, NJ 08034-1415
Mailing address
583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238
Phone (484) 681-2170
Other practice location 1
280 Jackson Rd
Atco, NJ 08004-1645
Phone (856) 767-5757 ext. 207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396169579 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1376926501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 SHOEMAKER RD STE 230",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064238",
"telephone_number": "484-681-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 OLD CUTHBERT RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341415",
"telephone_number": "484-681-2170"
}
],
"practiceLocations": [
{
"address_1": "280 Jackson Rd",
"address_purpose": "LOCATION",
"city": "Atco",
"state": "NJ",
"postal_code": "080041645",
"country_code": "US",
"telephone_number": "856-767-5757 x207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "SARAH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "0-15-6443",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-18-29643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396169579",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.