Massey, Logan Nicolette

Massey, Logan Nicolette is an individual health care provider with primary practice located at 120 Palencia Village Dr # C-105164 , St Augustine FL 32095-8549. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Massey, Logan Nicolette can be contacted via phone (904) 201-9129.

Contact Information

Primary practice address
120 Palencia Village Dr # C-105164 St Augustine FL 32095-8549
Phone: (904) 201-9129
Fax: (615) 694-3915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1104337989
LBN Legal business name Massey, Logan Nicolette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated Nov 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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