IndividualActive
Madison Dewitt
NPI 1104417237 · Behavior Technician · Stockton, CA
Madison Dewitt is a Behavior Technician provider in Stockton, CA (NPI 1104417237).
Provider details
- NPI number
- 1104417237
- 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
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Fax: (866) 500-2186
Street-level locationGet directions
Mailing address
500 Fairway Dr Ste 102
Deerfield Bch, FL 33441-1817
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Frequently asked questions
- What is Madison Dewitt's NPI number?
- Madison Dewitt's National Provider Identifier (NPI) is 1104417237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Dewitt's specialty?
- Madison Dewitt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Madison Dewitt located?
- Madison Dewitt's practice location on file with NPPES is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.
- What is Madison Dewitt's phone number?
- The practice phone number listed in the NPPES registry for Madison Dewitt is (877) 418-2978.
- Is Madison Dewitt's NPI active?
- Yes — Madison Dewitt's NPI (1104417237) is active in the NPPES registry as of the last update on 2021-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.