Abigail Rodamaker, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30360 Issued in NU

Practice address

7032 Flintwood Street
Navarre, FL 32566

Phone

(850) 686-0726

NPI assigned

Dec 22, 2017

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Changing Tides ABA Therapy

  • Behavior Analyst
  • Navarre, FL
  • NPI 1144186354
  NPD Authorized official

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1568978807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 HIGHWAY 90 UNIT 174",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701705",
            "telephone_number": "850-686-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 FLINTWOOD STREET",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-686-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7552 Navarre Pkwy Unit 32",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "32566",
            "country_code": "US",
            "telephone_number": "850-939-3944",
            "fax_number": "850-939-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODAMAKER",
        "first_name": "ABIGAIL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-30360",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-1620244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Reed, OD, PA
• Lauren Nicole Richards, PT, DPT
• Matthew L Rickett, D.O.M.
• Brianna Leigh Rider, APRN
• Stormy Robbins
• Christine Rodriguez, LCSW
• Lacey Rohlman
• Rebecca Lynne Rosenburg
• Megan Grace Ross
• Bryant Rountree

• Behavior Analyst in Navarre, FL
• Providers in Navarre, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.