GORDON JOHN WALLER
NPI 1780121731
Behavior Technician in Orem, UT

Active since January 30, 2017

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2021, Feb 11, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About Gordon John Waller NPPES

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

GORDON JOHN WALLER (NPI 1780121731) is an individual behavior technician in Orem, Utah and active in the NPI registry since January 2017. He maintains a secondary practice location in Tigard.

NPPES Registry Identity

NPI1780121731
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameGORDON JOHN WALLER
Location Address475 W 260 NOrem, UT 84057-1970
Mailing Address475 W 260 NOrem, UT 84057-1970
Sole ProprietorYes
Enumeration DateJanuary 30, 2017
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1780121731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
475 W 260 N, Orem, UT 84057

Secondary Practice Location 1

Location 18915 SW Center StTigard, OR 97223-6307 · Phone (602) 785-8595

Other Identifiers 1

Medicaid1396085718UT

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
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Analyst
475 W 260 N
OREM, UT 84057
Technician, Other
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Analyst
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057
Behavior Technician
475 W 260 N
OREM, UT 84057

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 Gordon Waller's NPI number?

The NPI number for Gordon Waller is 1780121731. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Gordon Waller located?

Gordon Waller practices at 475 W 260 N, Orem, UT 84057. The listed phone number is (801) 221-9930.

What is Gordon Waller'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 Gordon Waller was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.