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Logan Waggoner, BCBA
NPI 1962003962 · Behavior Analyst · Fort Wayne, IN
Logan Waggoner, BCBA is a Behavior Analyst provider in Fort Wayne, IN (NPI 1962003962).
Provider details
- NPI number
- 1962003962
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1-20-43093 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (855) 324-0885
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Frequently asked questions
- What is Logan Waggoner's NPI number?
- Logan Waggoner's National Provider Identifier (NPI) is 1962003962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Waggoner's specialty?
- Logan Waggoner is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Logan Waggoner located?
- Logan Waggoner's practice location on file with NPPES is 4422 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Logan Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Logan Waggoner is (855) 324-0885.
- Is Logan Waggoner's NPI active?
- Yes — Logan Waggoner's NPI (1962003962) is active in the NPPES registry as of the last update on 2022-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.