Madosin Orion Rothenhoefer

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

343 Fountains Pkwy # Fairview
Fairview Heights, IL 62208-2170

Phone

(618) 515-1441

Fax

(618) 515-1441

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1508614504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FOUNTAINS PKWY # FAIRVIEW",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082170",
            "telephone_number": "618-515-1441",
            "fax_number": "618-515-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FOUNTAINS PKWY # FAIRVIEW",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082170",
            "telephone_number": "618-515-1441",
            "fax_number": "618-515-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENHOEFER",
        "first_name": "MADOSIN",
        "middle_name": "ORION",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.