NPI 1386556645 · live from the CMS NPI Registry
Logan Boehmer, AA
Behavior Analyst in Grants Pass, OR. National Provider Identifier 1386556645, active.
NPI record
| NPI | 1386556645 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1181 Sw Ramsey Ave, Grants Pass, OR 97527 |
| Practice phone | 541-476-2373 |
| Mailing address | 1215 Sw G St, Grants Pass, OR 97526 |
| Enumerated | September 21, 2026 |
| Last updated | September 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.