Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keenan Wadnizak

Individual provider Behavior Technician · NPI 1851235931

Keenan Wadnizak is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13128 SE Cooper St
Portland, OR 97236-4573
Phone: (503) 803-2177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1851235931
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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