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Deactivated NPI 1124647656 Deactivated / Inactive NPI Male Practitioner

Maxwell E Mcgowan

Behavior Technician • Saint Cloud, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Maxwell Mcgowan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 14, 2020
NPI Deactivation Date March 23, 2026
Total Practice Duration ~6 Years of Practice (2020 – 2026)

Professional Overview & Biography Verified Profile Summary

Maxwell Mcgowan was a registered Behavior Technician practicing in Saint Cloud, MN. Throughout an active medical career spanning 6 years, Maxwell Mcgowan provided care at the practice location at 108 DOCTORS PARK until profile deactivation on 2026-03-23.

Practice Location & Contact Primary Location

Practice Address

108 Doctors Park

Saint Cloud, MN 563031207

Telephone 3207743915
Associated Practice Facility / Clinic
🏢 Northway Academy, Inc. Facility NPI 1104333715

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Saint Cloud, MN

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

Practicing in Saint Cloud, 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

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
Reva Rush Daniels

Behavior Technician

NPI 1003672759
Taylor Payne

Behavior Analyst

NPI 1013678861
Melissa Grossinger

Behavior Technician

NPI 1033843313
Ainsley Apel

Behavior Technician

NPI 1043924996
Hunter Tholkes

Behavior Technician

NPI 1063036630
Meghan Shannon

Behavior Technician

NPI 1063085470

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 23, 2026

Record deactivated on March 23, 2026

NPI Profile Active April 14, 2020

NPI status registered as active in NPPES database

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Updated Practice Location April 14, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

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Updated Business Mailing Address April 14, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

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Provider Name / Credentials Updated April 14, 2020

Recorded as MAXWELL MCGOWAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2020

Behavior Technician

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Initial NPI Registration & Enumeration April 14, 2020

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: 1124647656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2020
Last Update: April 14, 2020
Deactivation Date: March 23, 2026

Mailing Address

108 Doctors Park

Saint Cloud, MN 563031207

Phone: 3207743915

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.