Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Fuller

Individual provider Behavior Analyst · NPI 1417604687

Logan Fuller is a Behavior Analyst in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3186 Airway Ave
Costa Mesa, CA 92626-4650
Phone: (714) 881-0427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1417604687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address3186 Airway Ave, Costa Mesa, CA 92626-4650

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