NPIMap

Organization Active NPI

ABA Therapy & Consulting Services

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1578968780
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA THERAPY & CONSULTING SERVICES
Practice address
200 Grove Park LN Ste 110
Dothan, AL 36305-5912
Phone
(334) 305-0297
Fax
(334) 777-2355
NPI assigned
Oct 30, 2014
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Mrs. Kara Etheredge, M.A., BCBANPI 1972907780
Title
Owner
Phone
(334) 714-3696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

200 Grove Park LN Ste 110
Dothan, AL 36305-5912

Mailing address

200 Grove Park LN Ste 110
Dothan, AL 36305-5912
Phone (334) 305-0297

Other practice location 1

2 Cable St
Headland, AL 36345-2136
Phone (334) 785-4033

National Provider Directory

National Provider Directory

Locations

200 Grove Park Ln
Ste 110
Dothan, AL 36305
Phone (334) 305-0297

3124 W Main St
Dothan, AL 36305

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1578968780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 110",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-305-0297",
            "fax_number": "334-777-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 110",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-305-0297",
            "fax_number": "334-777-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cable St",
            "address_purpose": "LOCATION",
            "city": "Headland",
            "state": "AL",
            "postal_code": "363452136",
            "country_code": "US",
            "telephone_number": "334-785-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABA THERAPY & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ETHEREDGE",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-714-3696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 9, 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.