TYRESE LOGAN
NPI 1336948835
Day Training/Habilitation Specialist in Lincoln, NE

Active since March 10, 2025
9832 S 79TH ST, LINCOLN, NE 68516(303) 263-2614 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyrese Logan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRESE LOGAN (NPI 1336948835) is an individual day training/habilitation specialist in Lincoln, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1336948835
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameTYRESE LOGAN
Location Address9832 S 79TH STLincoln, NE 68516-3846
Mailing Address220 Oakcreek Dr # Ne68528Lincoln, NE 68528-1587 · (402) 817-4959
Sole ProprietorNo
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 9, 2025
NPI 1336948835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

9832 S 79TH ST, Lincoln, NE 68516

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516
Day Training/Habilitation Specialist
9832 S 79TH ST
LINCOLN, NE 68516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336948835, enumerated as an "individual" on March 10, 2025.

The provider is located at 9832 S 79TH ST LINCOLN, NE 68516 and the phone number is (303) 263-2614.

Day Training/Habilitation Specialist with taxonomy code 373H00000X.