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1962003962
LOGAN WAGGONER
FORT WAYNE, IN
NPI
1962003962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-20-43093)
Enumeration Date
2020-11-05
Last Update Date
2022-10-04
Business Address
LOGAN WAGGONER BCBA
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 855-324-0885
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Mailing Address
LOGAN WAGGONER BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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