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Michael Parker Edmondson

Assistant Behavior Analyst β€’ Portland, OR

Active NPI 1508105693 Individual Practitioner Male Practitioner
Practice location in NPPES

121 Sw Salmon St Fl 11
Portland, OR 972042908

Call 8558326727 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

121 Sw Salmon St Fl 11

Portland, OR 972042908

Telephone 8558326727
Organization at the Same NPPES Address or Phone
Positive Behavior Supports Corporation Facility NPI 1073478780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Portland and Oregon

29 active clinicians are listed under Assistant Behavior Analyst with a practice address in Portland, OR (71 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 29 clinicians have the CMS telehealth indicator.

0% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-24
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES OR ABA-AB-10194178

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 24, 2022

Registered at 121 SW SALMON ST FL 11, PORTLAND, OR 972042908 (Tel: 8558326727)

πŸ“
Updated Business Mailing Address August 24, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2022

Assistant Behavior Analyst (license number reported to NPPES: OR ABA-AB-10194178)

βœ…
NPI Profile Active February 08, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 08, 2013

Registered at 311 LENNON LN, SUITE A, WALNUT CREEK, CA 945982418 (Tel: 9252109370)

πŸ“
Business Mailing Address (Initial Record) February 08, 2013

Registered at 311 LENNON LN, SUITE A, WALNUT CREEK, CA 945982418 (Tel: 9252109370)

πŸ‘€
Provider Name / Credentials (Initial Record) February 08, 2013

Recorded as MICHAEL EDMONDSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2013

Behavior Analyst (license number reported to NPPES: CA 0-12-5106)

🟒
Initial NPI Registration & Enumeration February 08, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508105693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2013
Last Update: August 24, 2022
Sole Proprietor: No

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 8558326727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.