MADELINE JULIA CLARK (NPI# 1952709107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952709107 |
Entity Type | Individual |
Full Name | MADELINE JULIA CLARK |
Other Name | MADELINE JULIA WALENTINY |
Credential | BCBA |
Practice Address |
7800 Sw Barbur Blvd Bldg 2 Portland OR 97219-2823 |
Mailing Address |
Po Box 767938 Roswell GA 30076-7938 |
Practice Telephone | 8182416780 |
Practice Fax Number | 8182416853 |
Mailing Telephone | 8182416780 |
Mailing Fax Number | 8182416853 |
Enumeration Date | 2014-12-19 |
Last Update Date | 2020-05-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | BCBA | 1-18-32425 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3003 Northup Way, Suite 200, Bellevue, WA 98004 | 4258226442 | 4258283101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407477201 | Madeline Elizabeth Clark | Counselor | 720 Hickory St, Perrysburg, OH 43551-2447 | 2020-05-03 |
1528698776 | Madeline Clark | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-01-16 |
1124581269 | Madeline Elizabeth Clark | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2019-04-06 |
1063989515 | Madeline Clark | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2018-11-01 |
1871076125 | Madeline Dorothy Clark | Registered Nurse | 610 S Peach St, Medford, OR 97501-3310 | 2018-09-12 |
1043755341 | Madeline Clark | Behavioral Analyst | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2016-12-23 |
Street Address |
7800 SW BARBUR BLVD BLDG 2 |
City | PORTLAND |
State | OR |
Zip Code | 97219-2823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912527 | Guinevere Leggett | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-11-02 |
1144820572 | Kaitlyn Shea Long | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-26 |
1346840774 | Daniel M Blessinger | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-26 |
1932708161 | Tawny Noel Schafer | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-19 |
1689273807 | Daniel Gavin Leister-gray | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-19 |
1811595846 | Jessica Nicole Simonsen | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-12 |
1861099640 | Emily Granard | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-05 |
1407453285 | Kellie Jean Jordan | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-05 |
1023615291 | Victoria Isabel Alferez-dickerson | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-10-01 |
1679189930 | Brittni Gordon | Behavior Technician | 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823 | 2020-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
Find all providers in zip 97219 |
Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
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. |
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158055 | Compassionate Therapy for Autism, LLC | Behavioral Analyst | 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 | 2020-09-10 |
1588276364 | Climb Behavioral Solutions, LLC | Behavioral Analyst | 809b Se Sherman St, Portland, OR 97214-4666 | 2020-08-21 |
1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
1235753138 | Or Mc Sprout 1 LLC | Behavioral Analyst | 700 Sw 5th Ave, Portland, OR 97204-2000 | 2020-06-05 |
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
1134781776 | Sarah Anthony-hilgert | Behavioral Analyst | 7140 Sw Fir Loop Ste 105, Portland, OR 97223-8062 | 2019-07-03 |
1316506868 | Adi Einstein | Behavioral Analyst | 2234 Ne 44th Ave, Portland, OR 97213-1340 | 2019-06-09 |
1780248849 | Behavioral Learning Network - Oregon LLC | Behavioral Analyst | 1827 Ne 44th Ave Ste 390, Portland, OR 97213-1461 | 2019-04-24 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.