Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215574223 Deactivated / Inactive NPI Female Practitioner

Courtney E Wilson

Behavior Technician • Clackamas, OR

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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, Courtney Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2019
NPI Deactivation Date September 27, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Courtney Wilson was a registered Behavior Technician practicing in Clackamas, OR. Throughout an active medical career spanning 5 years, Courtney Wilson provided care at the practice location at 12901 SE 97TH AVE until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

12901 Se 97th Ave

Clackamas, OR 970157901

Telephone 9712066337
Associated Practice Facility / Clinic
🏢 Sleepwell Partner Llc Facility NPI 1437155934

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Clackamas, OR (3087 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
Tanya Sorensen

Behavior Analyst

NPI 1013406107
Kyla Miller

Behavior Technician

NPI 1013667955
Benjamin Johnson , CNA

Behavior Technician

NPI 1053892653

Certified Nursing Assistant

Joni Bolton

Behavior Analyst

NPI 1083366280
Alyssa Finley

Behavior Technician

NPI 1093213761
Patricia Grimes

Assistant Behavior Analyst

NPI 1104570662

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 September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active December 09, 2019

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2019

Registered at 12901 SE 97TH AVE, CLACKAMAS, OR 970157901 (Tel: 9712066337)

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Updated Business Mailing Address December 09, 2019

Registered at 26761 S BROOKS LN, BEAVERCREEK, OR 970048842

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Provider Name / Credentials Updated December 09, 2019

Recorded as COURTNEY WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Behavior Technician

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Initial NPI Registration & Enumeration December 09, 2019

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: 1215574223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2019
Last Update: December 09, 2019
Deactivation Date: September 27, 2024

Mailing Address

26761 S Brooks Ln

Beavercreek, OR 970048842

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.