Ashley Rotolo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39139 Issued in CA

Practice address

1230 Armstrong Dr
Manteca, CA 95336-4115

Phone

(408) 679-1888

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Rotolo Behavioral Support Services LLC

  • Behavior Analyst
  • Manteca, CA
  • NPI 1336856632
  NPD Authorized official
• Bbxcs LLC

  • Community/Behavioral Health Agency
  • Manteca, CA
  • NPI 1265103931
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1699276345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 ARMSTRONG DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364115",
            "telephone_number": "408-679-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ARMSTRONG DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364115",
            "telephone_number": "408-679-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Standiford Ave Ste 12-180",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506522",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTOLO",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2022-12-07",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-39139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Christina Narvarte Roque, PHARM.D
• Ulises Rosales Jr.
• Nery Rosas-Rivas
• Janice Sue Ross, RCP
• Rotolo Behavioral Support Services LLC
• Rottacker Chiropractic
• Russell Bradley Rottacker, DC
• Raven Royal
• Maricel Ruffy
• Yesica Ruiz Ruiz, PHYSICAL THERAPY

• Behavior Analyst in Manteca, CA
• Providers in Manteca, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.