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Active NPI 1053135046 Individual Practitioner Male Practitioner

Brendan Odegaard , MA BCBA

Behavior Analyst • Waite Park, MN

Professional Overview & Biography Verified Profile Summary

Brendan Odegaard, MA BCBA is a registered healthcare professional specializing in Behavior Analyst in Waite Park, MN. Practice services are available at 314 10TH AVE S STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

314 10th Ave S Ste 100

Waite Park, MN 563871968

Telephone 6127677222
Fax 6127677222

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Waite Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Waite Park, MN (1398 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: 2025-04-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License WI 1303140

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.

Secondary Practice Locations

3113 W Beltline Hwy Ste 300

Madison, WI 537132934

Phone: 6088196810

Practice Associates & Co-Workers

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

40 Associated Practitioners
Anna Schulz , MS, BCBA

Behavior Analyst

NPI 1003452632

Master of Science, Board Certified Behavior Analyst

Sarah Lynch , MS, BCBA

Behavior Analyst

NPI 1003459835

Master of Science, Board Certified Behavior Analyst

Mystic Makepeace

Behavior Technician

NPI 1003486564
Khaleda Islam

Behavior Technician

NPI 1003549676
Melissa Becerra

Behavior Technician

NPI 1003592650
Nimco Salah

Behavior Technician

NPI 1003742594

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 21, 2025

Registered at 314 10TH AVE S STE 100, WAITE PARK, MN 563871968 (Tel: 6127677222)

📍
Updated Business Mailing Address April 21, 2025

Registered at 314 10TH AVE S STE 100, WAITE PARK, MN 563871968 (Tel: 6127677222)

NPI Profile Active November 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2024

Registered at 3113 W BELTLINE HWY STE 300, MADISON, WI 537132934 (Tel: 6088196810)

📍
Updated Business Mailing Address November 14, 2024

Registered at 1161 LAKE COOK RD, DEERFIELD, IL 600155649 (Tel: 8474985437)

👤
Provider Name / Credentials Updated November 14, 2024

Recorded as BRENDAN ODEGAARD, MA BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2024

Behavior Analyst (License #1303140 in WI)

🟢
Initial NPI Registration & Enumeration November 14, 2024

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: 1053135046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2024
Last Update: April 21, 2025
Sole Proprietor: No

Mailing Address

314 10th Ave S Ste 100

Waite Park, MN 563871968

Phone: 6127677222

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.