Active NPI
Andrew T Rothermich, CBT
- Behavior Technician
- Vancouver, WA
National Provider Identifier
1083582639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB70863248
- Practice address
- 8019 NE 13TH Ave
Vancouver, WA 98665-9604 - Phone
- (360) 984-3131
- Fax
- (360) 718-8542
- NPI assigned
- Oct 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB70863248 | WA | Primary |
Addresses
Primary practice location
8019 NE 13TH Ave
Vancouver, WA 98665-9604
Mailing address
199 N Hayden Bay Dr
Portland, OR 97217-7975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB70863248 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1083582639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N HAYDEN BAY DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972177975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 NE 13TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659604",
"telephone_number": "360-984-3131",
"fax_number": "360-718-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHERMICH",
"first_name": "ANDREW",
"middle_name": "T",
"credential": "CBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB70863248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.