MADISON FRY
NPI 1336786375
Behavior Technician in Garden Grove, CA

Active since December 10, 2019
12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(949) 833-2237 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Dec 10, 2019 (2 updates tracked since 2019).

About Madison Fry NPPES

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

MADISON FRY (NPI 1336786375) is an individual behavior technician in Garden Grove, California and active in the NPI registry since December 2019. She maintains a secondary practice location in Novi.

NPPES Registry Identity

NPI1336786375
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMADISON FRY
Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (949) 833-2237
Sole ProprietorNo
Enumeration DateDecember 10, 2019
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1336786375 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.
12465 LEWIS ST STE 102, Garden Grove, CA 92840

Secondary Practice Location 1

Location 141521 W 11 Mile RdNovi, MI 48375-1803 · Phone (248) 436-4400

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.

Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840

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 Madison Fry's NPI number?

The NPI number for Madison Fry is 1336786375. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Madison Fry located?

Madison Fry practices at 12465 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (949) 833-2237.

What is Madison Fry'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 Madison Fry was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.