Logan Community Resources

NPI #1639558331 in South Bend, Indiana

Provider Information

NPI Number: 1639558331
Entity Type: Organization
Organization Name: Logan Community Resources
Primary Specialty: Behavior Analyst
Enumeration Date: May 27, 2015
Last Updated: May 27, 2015

Practice Location

Address: 2505 E JEFFERSON BLVD
City: South Bend
State: Indiana
ZIP Code: 46615-2635
Phone: (574) 289-4831

Authorized Official

Name: MR. DAN RYAN
Title: DIR SONYA ANSARI CENTER FOR AUTISM
Phone: (574) 289-4831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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