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Deactivated NPI 1699268532 Deactivated / Inactive NPI Female Practitioner

Shadon Ellison

Behavior Technician • Salem, 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, Shadon Ellison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2018
NPI Deactivation Date October 23, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Shadon Ellison was a registered Behavior Technician practicing in Salem, OR. Throughout an active medical career spanning 7 years, Shadon Ellison provided care at the practice location at 3400 STATE ST STE G750 until profile deactivation on 2025-10-23.

Practice Location & Contact Primary Location

Practice Address

3400 State St Ste G750

Salem, OR 973017012

Telephone 8182862345
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Salem, OR

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

Practicing in Salem, 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
Alexia Bustamante

Behavior Analyst

NPI 1003307851
Andrea Buffaloe

Behavior Technician

NPI 1003377201
Madison Williams

Behavior Analyst

NPI 1003492786
Izac Parra

Behavior Technician

NPI 1003579301
Michelle Rogel

Behavior Analyst

NPI 1003587932
Chelsea Mackey

Behavior Analyst

NPI 1003697145

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 October 23, 2025

Record deactivated on October 23, 2025

NPI Profile Active June 13, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2018

Registered at 3400 STATE ST STE G750, SALEM, OR 973017012 (Tel: 8182862345)

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Updated Business Mailing Address June 13, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

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Provider Name / Credentials Updated June 13, 2018

Recorded as SHADON ELLISON

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2018

Behavior Technician

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Initial NPI Registration & Enumeration June 13, 2018

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: 1699268532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2018
Last Update: June 13, 2018
Deactivation Date: October 23, 2025

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Phone: 8183452345

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.