Individual provider · Type 1 NPI

Logan Waggoner, BCBA

Behavior Analyst · Fort Wayne, IN

NPI number 1962003962 Active

Practice location

4422 E State Blvd
Fort Wayne, IN 46815-6917

Call (855) 324-0885 Map

Fax (317) 520-8200

Mailing address

4849 N Seeley Ave Apt 1
Chicago, IL 60625-7633

Other practice locations

  • 2701 W Peterson Ave, Chicago, IL 60659-3919 · (773) 644-7787

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-20-43093 (IL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1962003962

Logan Waggoner, BCBA's National Provider Identifier is 1962003962, issued on Nov 5, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 6, 2026.