Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417503657 Individual Practitioner Female Practitioner

Madison Wallace

Behavior Technician • Portland, OR

Professional Overview & Biography Verified Profile Summary

Madison Wallace is a registered healthcare professional specializing in Behavior Technician in Portland, OR. Practice services are available at 1025 SE 11TH AVE APT 302 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 Se 11th Ave Apt 302

Portland, OR 972142482

Telephone 5036861786

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 3.7 Yrs
Regional Practice Density
1124 Specialists

Practicing in Portland, 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
Erica Ryan

Behavior Technician

NPI 1003501842
Jie Lim

Behavior Technician

NPI 1033888276
Alicia Perkins

Behavior Technician

NPI 1053080291
Isabelle Hazard

Behavior Technician

NPI 1083314389
Bethany Londagin

Behavior Technician

NPI 1104389857
Emily Rens

Behavior Technician

NPI 1124780119

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2019

Registered at 1025 SE 11TH AVE APT 302, PORTLAND, OR 972142482 (Tel: 5036861786)

📍
Updated Business Mailing Address August 13, 2019

Registered at 1025 SE 11TH AVE APT 302, PORTLAND, OR 972142482

👤
Provider Name / Credentials Updated August 13, 2019

Recorded as MADISON WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 13, 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: 1417503657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2019
Last Update: August 13, 2019
Sole Proprietor: No

Mailing Address

1025 Se 11th Ave Apt 302

Portland, OR 972142482

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.