Jacob Doss, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019-015 Issued in AL

Practice address

164 Stricklin Rd
Cullman, AL 35057-3305

Phone

(256) 469-8493

NPI assigned

Dec 26, 2018

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Imagine Applied Behavior Analysis LLC

  • Behavior Analyst
  • Cullman, AL
  • NPI 1740958370
  NPD Authorized official

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1376015743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 STRICKLIN RD",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573305",
            "telephone_number": "256-469-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 STRICKLIN RD",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573305",
            "telephone_number": "256-469-8493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4769 Whitesburg Dr SE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021684",
            "country_code": "US",
            "telephone_number": "256-666-0477",
            "fax_number": "256-666-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSS",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2019-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@imagineaba.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "Imagine Applied Behavior Analysis LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "164 Stricklin Rd",
            "city": "Cullman",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350573305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Payne Dodd, M.D.
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• Abbie Donaldson, DPT, PT
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• Jennifer Hirsch Doobrow, D.M.D.
• Erin Dover, LICSW
• Dr Henry S Beeler
• Dr James R Veal Jr and Associates PA
• Dr. Echols & Associates of Cullman, PLLC (Cullman Cosmetic & Family Dentistry)
• Dr. Matt Dellinger, DMD,LLC

• Behavior Analyst in Cullman, AL
• Providers in Cullman, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.