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

Individual provider Behavior Technician · NPI 1417697475

Madeline Rene Jennison, BEHAVIORTECHNICIAN is a Behavior Technician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
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Practice location Address checks out

3535 N Lombard St
Portland, OR 97217-5901
Phone: (800) 273-4292
Fax: (888) 293-3374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABA-IN-10218995 (OR)

Record details

NPI number1417697475
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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