MR. THEORDOS LOGAN III
NPI 1558186403
Behavior Technician in Riverdale, GA

Active since November 16, 2024
207 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(470) 944-1039 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Theordos Logan Iii NPPES

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

MR. THEORDOS LOGAN III (NPI 1558186403) is an individual behavior technician in Riverdale, Georgia and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1558186403
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. THEORDOS LOGAN III
Location Address207 UPPER RIVERDALE RD SWRiverdale, GA 30274-2585
Mailing Address207 Upper Riverdale Rd SwRiverdale, GA 30274-2585 · (470) 944-1039
Sole ProprietorNo
Enumeration DateNovember 16, 2024
NPPES CertifiedNovember 16, 2024
✔ NPI 1558186403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
207 UPPER RIVERDALE RD SW, Riverdale, GA 30274

Other Names 1

Other Name (5)Mr. Theo Logan

Other Providers at the Same Location NPPES 14

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

Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Dentist (Pediatric Dentistry)
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Behavior Technician
207 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theordos Logan's NPI number?

The NPI number for Theordos Logan is 1558186403. It was assigned to this individual provider in the NPPES registry on November 16, 2024. The provider is also known as Mr. Theo Logan.

Where is Theordos Logan located?

Theordos Logan practices at 207 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (470) 944-1039.

What is Theordos Logan's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Theordos Logan was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.