IndividualActive
Madison Boutwell
NPI 1053987958 · Behavior Technician · Maple Grove, MN
Madison Boutwell is a Behavior Technician provider in Maple Grove, MN (NPI 1053987958).
Provider details
- NPI number
- 1053987958
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8980 Zachary Ln N
Maple Grove, MN 55369-4018
Phone: (612) 767-7222
Street-level locationGet directions
Mailing address
6766 Queensland Ln N
Maple Grove, MN 55311-3023
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Madison Boutwell's NPI number?
- Madison Boutwell's National Provider Identifier (NPI) is 1053987958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Boutwell's specialty?
- Madison Boutwell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Madison Boutwell located?
- Madison Boutwell's practice location on file with NPPES is 8980 Zachary Ln N, Maple Grove, MN 55369-4018.
- What is Madison Boutwell's phone number?
- The practice phone number listed in the NPPES registry for Madison Boutwell is (612) 767-7222.
- Is Madison Boutwell's NPI active?
- Yes — Madison Boutwell's NPI (1053987958) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.