Individual provider Active NPI

Jennifer Dawn Rothman, BCBA

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1285143859
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27835 Issued in TX
Practice address
212 W Troy St Ste B
Dothan, AL 36303-4455
Phone
(334) 316-0442
Fax
(254) 227-5509
NPI assigned
Sep 26, 2017
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27835 TX Primary

Addresses

Primary practice location

212 W Troy St Ste B
Dothan, AL 36303-4455

Mailing address

5170 Judge Logue Rd
Newton, AL 36352-8429
Phone (254) 349-7947

Other practice location 1

1276 Springwell Pl
Newport News, VA 23608-7713
Phone (254) 349-7947

Other practice location 2

4506 The Searchers Dr
Killeen, TX 76549
Phone (254) 349-7947

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Ripples ABA Therapy LLC Behavior Analyst CurrentSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1285143859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 JUDGE LOGUE RD",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363528429",
            "telephone_number": "254-349-7947",
            "fax_number": "254-227-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W TROY ST STE B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034455",
            "telephone_number": "334-316-0442",
            "fax_number": "254-227-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Springwell Pl",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236087713",
            "country_code": "US",
            "telephone_number": "254-349-7947",
            "fax_number": "254-227-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4506 The Searchers Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "76549",
            "country_code": "US",
            "telephone_number": "254-349-7947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-27835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.