Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AHMAD KEENAN TAJ LOGAN
Active Sole ProprietorMR. AHMAD KEENAN TAJ LOGAN is a Behavior Technician healthcare provider located in MCKINLEYVILLE, California. NPI 1073238069 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MCKINLEYVILLE, CA
Registration Details
- NPI Number
- 1073238069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2022 (3.6649094526751 yrs)
- Last Updated
- Oct 11, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1622 BARTOW RDMCKINLEYVILLE, CA, 955194309Browse CA providers · Browse ZIP 95519
- Phone
- 9254976601
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in MCKINLEYVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. TYLOR D DAVIS | — | 1265001804 |
| SABREEN ELBAZ | — | 1295404432 |
| CASSAUNDRA MAXINE WAGES | — | 1538830674 |
| SARAH WENNERHOLM | — | 1548932585 |
| ERICA WHEELER | — | 1285373225 |
| DARCY FROST | — | 1609589647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.