IndividualActive
Logan Fuller
NPI 1417604687 · Behavior Analyst · Costa Mesa, CA
Logan Fuller is a Behavior Analyst provider in Costa Mesa, CA (NPI 1417604687).
Provider details
- NPI number
- 1417604687
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3186 Airway Ave
Costa Mesa, CA 92626-4650
Phone: (714) 881-0427
Street-level locationGet directions
Mailing address
3186 Airway Ave
Costa Mesa, CA 92626-4650
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Frequently asked questions
- What is Logan Fuller's NPI number?
- Logan Fuller's National Provider Identifier (NPI) is 1417604687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Fuller's specialty?
- Logan Fuller is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Logan Fuller located?
- Logan Fuller's practice location on file with NPPES is 3186 Airway Ave, Costa Mesa, CA 92626-4650.
- What is Logan Fuller's phone number?
- The practice phone number listed in the NPPES registry for Logan Fuller is (714) 881-0427.
- Is Logan Fuller's NPI active?
- Yes — Logan Fuller's NPI (1417604687) is active in the NPPES registry as of the last update on 2022-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.