MADELINE JULIA CLARK


Address: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219-2823
Phone: 8182416780

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR BCBA 1-18-32425 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3003 Northup Way, Suite 200, Bellevue, WA 98004 4258226442 4258283101

Other Providers MADELINE CLARK

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

Office Location

Street Address 7800 SW BARBUR BLVD BLDG 2
City PORTLAND
State OR
Zip Code 97219-2823

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy 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.
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]

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97219

Improve Information

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Dataset Information

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.

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