Healthcare Provider Details

I. General information

NPI: 1316803208
Provider Name (Legal Business Name): LOGAN CAREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 OVERLOOK DR APT 3E
SALISBURY MD
21804-2250
US

IV. Provider business mailing address

113 OVERLOOK DR APT 3E
SALISBURY MD
21804-2250
US

V. Phone/Fax

Practice location:
  • Phone: 443-735-0571
  • Fax:
Mailing address:
  • Phone: 443-735-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: