GABRIELLE PRODIGUE MA
NPI 1902300809
Behavior Analyst in Portland, OR

Active since March 23, 2018
121 SW SALMON ST FL 11, PORTLAND, OR 97204(855) 832-6727 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2019, Mar 23, 2018 (2 updates tracked since 2018).

About Gabrielle Prodigue Ma NPPES

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

GABRIELLE PRODIGUE MA (NPI 1902300809) is an individual behavior analyst provider in Portland, Oregon, licensed in California (1-18-31967) and active in the NPI registry since March 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902300809
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameGABRIELLE PRODIGUECredential: MA
Location Address121 SW SALMON ST FL 11Portland, OR 97204-2908
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateJanuary 10, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
NPI 1902300809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in CA · 1-18-31967
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

121 SW SALMON ST FL 11, Portland, OR 97204

Secondary Practice Locations 2

Location 139210 State StFremont, CA 94538-1456 · Phone (510) 894-4456
Location 21900 Embarcadero Ste 310Oakland, CA 94606-5227 · Phone (510) 832-4383

Accepted Insurance

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.

Technician, Other
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Technician
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Analyst
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Technician, Other
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Analyst
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Technician
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Analyst
121 SW SALMON ST FL 11
PORTLAND, OR 97204
Behavior Analyst
121 SW SALMON ST FL 11
PORTLAND, OR 97204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902300809, enumerated as an "individual" on March 23, 2018.

The provider is located at 121 SW SALMON ST FL 11 PORTLAND, OR 97204 and the phone number is (855) 832-6727.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska. Please consult your insurance carrier or call the provider to verify.