Logan Waggoner, BCBA
NPI #1962003962 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1962003962
- Entity Type
- Individual
- Name
- Logan Waggoner, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 4422 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-6917
- Phone
- (855) 324-0885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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