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JACK THOMAS WHITTAKER
NPI 1073178745
Behavior Technician in Portland, OR

Active since May 07, 2019
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225(510) 679-3545 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Thomas Whittaker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK THOMAS WHITTAKER (NPI 1073178745) is an individual behavior technician in Portland, Oregon and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1073178745
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACK THOMAS WHITTAKER
Location Address1675 SW MARLOW AVE STE 200Portland, OR 97225-5102
Mailing Address5925 Sw Spruce AveBeaverton, OR 97005-3502 · (503) 505-0739
Phone(510) 679-3545
Sole ProprietorNo
Enumeration DateMay 7, 2019
✔ NPI 1073178745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

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.

1675 SW MARLOW AVE STE 200, Portland, OR 97225
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW STEINER
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (866) 523-4268
IVY SMITH
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (866) 523-4268
ASHLEY WEATHERSON
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (510) 679-3545
CHRISTINE GUENIN
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (510) 679-3545
TIFANY EDINGER
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (866) 523-4268
LIZETH MONROY
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (503) 442-6546
BREANNA ROSE CASH
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (866) 523-4268
EMILY GARCIA
Behavior Technician
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225
Washington County (866) 523-4268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Whittaker's NPI number?

The NPI number for Jack Whittaker is 1073178745. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Jack Whittaker located?

Jack Whittaker practices at 1675 SW Marlow Ave Ste 200, Portland, OR 97225. The listed phone number is (510) 679-3545.

What is Jack Whittaker's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jack Whittaker was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.