OrganizationActive
Logan Community Resources
NPI 1639558331 · Behavior Analyst · South Bend, IN
Provider details
- NPI number
- 1639558331
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dan Ryan, Dir Sonya Ansari Center for Autism(574) 289-4831
- License
- 1-15-18324 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone: (574) 289-4831
Fax: (574) 234-2075
Street-level locationGet directions
Mailing address
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.