KEENAN WADNIZAK
NPI 1851235931
Behavior Technician in Portland, OR

Active since April 17, 2026
13128 SE COOPER ST, PORTLAND, OR 97236(503) 803-2177 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Apr 17, 2026 (2 updates tracked since 2026).

About Keenan Wadnizak NPPES

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

KEENAN WADNIZAK (NPI 1851235931) is an individual behavior technician in Portland, Oregon and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1851235931
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKEENAN WADNIZAK
Location Address13128 SE COOPER STPortland, OR 97236-4573
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Sole ProprietorNo
Enumeration DateApril 17, 2026
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1851235931 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.
13128 SE COOPER ST, Portland, OR 97236

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 Keenan Wadnizak's NPI number?

The NPI number for Keenan Wadnizak is 1851235931. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Keenan Wadnizak located?

Keenan Wadnizak practices at 13128 SE Cooper St, Portland, OR 97236. The listed phone number is (503) 803-2177.

What is Keenan Wadnizak'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 Keenan Wadnizak was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.