MADELINE RENE JENNISON BEHAVIOR TECHNICIAN
NPI 1417697475
Behavior Technician in Portland, OR

Active since March 29, 2022
3535 N LOMBARD ST, PORTLAND, OR 97217(800) 273-4292(888) 293-3374 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madeline Rene Jennison Behavior Technician NPPES

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

MADELINE RENE JENNISON BEHAVIOR TECHNICIAN (NPI 1417697475) is an individual behavior technician in Portland, Oregon, licensed in Oregon (ABA-IN-10218995) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1417697475
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMADELINE RENE JENNISONCredential: BEHAVIOR TECHNICIAN
Location Address3535 N LOMBARD STPortland, OR 97217-5901
Mailing Address11037 Warner Ave # 339Fountain Valley, CA 92708-4007 · (800) 273-4292 · Fax (714) 596-6274
Fax(888) 293-3374
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1417697475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in OR · ABA-IN-10218995
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.
3535 N LOMBARD ST, Portland, OR 97217

Other Providers at the Same Location NPPES 19

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

Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Analyst
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217
Assistant Behavior Analyst
3535 N LOMBARD ST
PORTLAND, OR 97217
Behavior Technician
3535 N LOMBARD ST
PORTLAND, OR 97217

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 Madeline Jennison's NPI number?

The NPI number for Madeline Jennison is 1417697475. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Madeline Jennison located?

Madeline Jennison practices at 3535 N Lombard St, Portland, OR 97217. The listed phone number is (800) 273-4292.

What is Madeline Jennison'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 Madeline Jennison was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.