Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003747833 Individual Practitioner Female Practitioner

Madison Taylor Stackhouse

Behavior Technician • White Bear Lk, MN

Professional Overview & Biography Verified Profile Summary

Madison Stackhouse is a registered healthcare professional specializing in Behavior Technician in White Bear Lk, MN. Practice services are available at 1011 MEADOWLANDS DR STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 Meadowlands Dr Ste 1

White Bear Lk, MN 551272340

Telephone 9208579041
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in White Bear Lk, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.8 Yrs
Regional Practice Density
4 Specialists

Practicing in White Bear Lk, MN (16172 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cambria Onick , MS

Behavior Analyst

NPI 1013578384

Master of Science

Kelsey Harper , BCBA

Behavior Analyst

NPI 1023558053

Board Certified Behavior Analyst

Nicollette Lazarides

Behavior Analyst

NPI 1023766995
Kevin Dihel

Behavior Analyst

NPI 1033836283
Cheri Burkart

Counselor - Professional

NPI 1043788060
Danielle Niven

Behavior Analyst

NPI 1043833551

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 28, 2026

NPI status registered as active in NPPES database

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Updated Practice Location May 28, 2026

Registered at 1011 MEADOWLANDS DR STE 1, WHITE BEAR LK, MN 551272340 (Tel: 9208579041)

📍
Updated Business Mailing Address May 28, 2026

Registered at 4113 W MARTINTON DR, FRANKLIN, WI 531329399 (Tel: 9208579041)

👤
Provider Name / Credentials Updated May 28, 2026

Recorded as MADISON STACKHOUSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2026

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 28, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003747833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2026
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

4113 W Martinton Dr

Franklin, WI 531329399

Phone: 9208579041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.