Active NPI
Logan Daniels, RBT
- Behavior Technician
- Dothan, AL
National Provider Identifier
1881340552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 112 Adris PL
Dothan, AL 36303-1997 - Phone
- (334) 618-3302
- Fax
- (334) 460-8468
- NPI assigned
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
112 Adris PL
Dothan, AL 36303-1997
Mailing address
112 Adris PL
Dothan, AL 36303-1997
Phone (334) 618-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-21-191362 | Other | BACB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ABAassociate.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Associates LLC | Current | Accepting new patients |
Locations
112 Adris Pl
Dothan, AL 36303
Phone (334) 796-9578
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.
-
- Behavior Analyst
- Dothan, AL
- NPI 1477832970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1881340552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ADRIS PL",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031997",
"telephone_number": "334-618-3302",
"fax_number": "334-460-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ADRIS PL",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031997",
"telephone_number": "334-618-3302",
"fax_number": "334-460-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "LOGAN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-21-191362",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ABAassociate.com",
"affiliation": "N",
"endpointDescription": "info@abaassociate.com",
"address_1": "112 Adris Pl",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "363031997",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.