Logan Hautamaki

NPI #1750912358 in Cherry Valley, Illinois

Provider Information

NPI Number: 1750912358
Entity Type: Individual
Name: Logan Hautamaki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 1, 2020
Last Updated: Feb 1, 2020

Practice Location

Address: 133 S SALEM ST
City: Cherry Valley
State: Illinois
ZIP Code: 61016-9321
Phone: (779) 256-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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