Individual provider Active NPI

Richard Scott Ivey

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1366304073
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
25-492590 Issued in AL
Practice address
112 Adris PL
Dothan, AL 36303-1997
Phone
(334) 618-3302
NPI assigned
Dec 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 25-492590 AL Primary

Addresses

Primary practice location

112 Adris PL
Dothan, AL 36303-1997

Mailing address

194 Golf View Dr
Dothan, AL 36301-6813
Phone (334) 618-3302

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

LicenseStateTypeSpecialty
25-492590ALMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Associates LLC Behavior Analyst CurrentSince Dec 7, 2025 Accepting new patients

Locations

112 Adris Pl
Dothan, AL 36303
Phone (334) 796-9578

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1366304073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 GOLF VIEW DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016813",
            "telephone_number": "334-618-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ADRIS PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031997",
            "telephone_number": "334-618-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "25-492590",
            "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 Dec 1, 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.