Brink, Logan Amanda

Brink, Logan Amanda is an individual health care provider with primary practice located at 5245 Santa Rosa Ave , Sparks NV 89436-3654. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Brink, Logan Amanda can be contacted via phone (775) 393-9249.

Contact Information

Primary practice address
5245 Santa Rosa Ave Sparks NV 89436-3654
Phone: (775) 393-9249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1427571991
LBN Legal business name Brink, Logan Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427571991 NPPES
Nevada MEDICAID 82-0766847

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