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

Logan Waggoner, BCBA

Individual provider Behavior Analyst · NPI 1962003962

Logan Waggoner, BCBA is a Behavior Analyst in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (855) 324-0885
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-43093 (IN)

Record details

NPI number1962003962
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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