IndividualActive
Logan Massey
NPI 1104337989 · Assistant Behavior Analyst · St Augustine, FL
Provider details
- NPI number
- 1104337989
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Practice location
120 Palencia Village Dr # C-105164
St Augustine, FL 32095-8549
Phone: (904) 201-9129
Fax: (615) 694-3915
Approximate (ZIP-level) locationGet directions
Mailing address
120 Palencia Village Dr
St Augustine, FL 32095-8549
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.