Logan Kenneth Larsen

NPI #1043096639 in Cedar City, Utah

Provider Information

NPI Number: 1043096639
Entity Type: Individual
Name: Logan Kenneth Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2023
Last Updated: Sep 7, 2023

Practice Location

Address: 660 N AIRPORT RD
City: Cedar City
State: Utah
ZIP Code: 84721-8401
Phone: (435) 586-4078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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