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NPI Code Detail

MEDICARE: JENNIFER DAWN ROTHMAN BCBA

MEDICARE: JENNIFER DAWN ROTHMAN BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-17-27835TX

General Provider Information

NPI Number : 1285143859
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DAWN ROTHMAN BCBA
Provider Business Mailing Address
First Line : 5170 JUDGE LOGUE RD
Second Line :
City : NEWTON
State : AL
Zip : 36352-8429
Country : US
Telephone Number : 254-349-7947
Fax Number : 254-227-5509
Provider Business Practice Location Address
First Line : 212 W TROY ST STE B
Second Line :
City : DOTHAN
State : AL
Zip : 36303-4455
Country : US
Telephone Number : 334-316-0442
Fax Number : 254-227-5509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 08/25/2025

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