Logan Shaw-Jernigan, RBT

NPI #1922887884 in Conyers, Georgia

Provider Information

NPI Number: 1922887884
Entity Type: Individual
Name: Logan Shaw-Jernigan, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 2415 WALL ST SE
City: Conyers
State: Georgia
ZIP Code: 30013-6384
Phone: (470) 207-8845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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