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Princess Kagemulo

Behavior Technician β€’ Portland, OR

Active NPI 1477380319 Individual Practitioner Female Practitioner
Practice location in NPPES

10301 Ne Glisan St
Portland, OR 972204013

Call 5032341541 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

10301 Ne Glisan St

Portland, OR 972204013

Telephone 5032341541
Organization at the Same NPPES Address or Phone
The Immigrant And Refugee Community Organization Facility NPI 1386473718

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

NPI first issued

2024

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

1,146 active clinicians are listed under Behavior Technician with a practice address in Portland, OR (3,147 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0% of these 1,146 clinicians have the CMS telehealth indicator.

0.1% of these 1,146 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: 2026-09-17
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Interpreter

NUCC Taxonomy Code: 171R00000X

An Interpreter is a person who translates oral communication between two or more people. This includes translating from one language to another or interpreting sign language. An interpreter is necessary for medical care when the patient does not speak the language of the health care provider or when the patient has a disability involving spoken language.

Doula

NUCC Taxonomy Code: 374J00000X

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.

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 September 17, 2026

Registered at 10301 NE GLISAN ST, PORTLAND, OR 972204013 (Tel: 5032341541)

πŸ“
Updated Business Mailing Address September 17, 2026

Registered at 10301 NE GLISAN ST, PORTLAND, OR 972204013

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2026

Interpreter

βœ…
NPI Profile Active September 16, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 16, 2024

Registered at 1333 S MAYFLOWER AVE, MONROVIA, CA 910164066 (Tel: 8182416780)

πŸ“
Business Mailing Address (Initial Record) September 16, 2024

Registered at 1333 S MAYFLOWER AVE, SUITE 220, MONROVIA, CA 910164066

πŸ‘€
Provider Name / Credentials (Initial Record) September 16, 2024

Recorded as PRINCESS KAGEMULO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2024

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 16, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477380319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2024
Last Update: September 17, 2026
Sole Proprietor: Yes

Other Behavior Technicians in Portland

Healthcare providers in Portland

Mailing Address

10301 Ne Glisan St

Portland, OR 972204013

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.