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LOGAN WAGGONER BCBA
NPI 1962003962
Behavior Analyst in Fort Wayne, IN

Active since November 05, 2020
4422 E STATE BLVD, FORT WAYNE, IN 46815(855) 324-0885(317) 520-8200 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About Logan Waggoner Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN WAGGONER BCBA (NPI 1962003962) is an individual behavior analyst provider in Fort Wayne, Indiana, licensed in Indiana (1-20-43093) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1962003962
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameLOGAN WAGGONERCredential: BCBA
Location Address4422 E STATE BLVDFort Wayne, IN 46815-6917
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(855) 324-0885
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateNovember 5, 2020
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1962003962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IN · 1-20-43093
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
4422 E STATE BLVD, Fort Wayne, IN 46815
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Other Identifiers 1

Medicaid300045285IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN WILLIAMS RBT
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
BRIEONNAH LAMB RBT
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
TAMIA WAGSTAFF
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
JADE GREPKE
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
KYLEIGH CARMEAN RBT
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
ASHTYN JANISKEE BCBA
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
ALYSSA R SMITH BCBA
Behavior Analyst
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263
DALLAS DENIQUE TENNESSEE BS
Behavior Technician
4422 E STATE BLVD
FORT WAYNE, IN 46815
Allen County (260) 471-9263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Waggoner's NPI number?

The NPI number for Logan Waggoner is 1962003962. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Logan Waggoner located?

Logan Waggoner practices at 4422 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (855) 324-0885.

What is Logan Waggoner's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Logan Waggoner accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Logan Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Waggoner was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.