Individual provider · Type 1 NPI

Madyson Bushaw

Behavior Technician · St. Charles, IL

NPI number 1780504910 Active

Practice location

2325 Dean St Ste 750
St. Charles, IL 60175-4835

Mailing address

30542 Yates Rd
Deer Grove, IL 61243-9712

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1780504910

Madyson Bushaw's National Provider Identifier is 1780504910, issued on Jul 17, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in St. Charles, IL. The record was last updated on Jul 17, 2026.