GABRIELLE PRODIGUE MA
NPI 1902300809
Behavior Analyst in Portland, OR

Q: What is Gabrielle Prodigue's NPI number?

The NPI number for Gabrielle Prodigue is 1902300809. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Q: What is Gabrielle Prodigue's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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: August 23, 2026.

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

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.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.

OSARETINE AGBONZE

Behavior Technician