Heather Rodman, M.S, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42028 Issued in NJ

Practice address

230 Braen Ave
Wyckoff, NJ 07481-2948

Phone

(973) 423-2254

NPI assigned

Jun 2, 2020

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

Credentials

Master of Science

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.

• Sidekicks Respite Care LLC

  • Behavior Analyst
  • Hamilton, NJ
  • NPI 1619385333
  NPD (past)

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1902420201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SHARK RIVER RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537425",
            "telephone_number": "732-768-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BRAEN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812948",
            "telephone_number": "973-423-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "HEATHER",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-20-42028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Endocrinology, LLC
• Renaissance Surgery Center, LLC
• Jeriel Reyes, LMT
• Richard E Hall DDS PC
• Nickesha Latoya Ritchie, APN-C
• Katherine Grace Rogala, LSW
• Liana Romano
• Chaim E Rosen, MD05
• Randi Rosenstein
• Jeffrey Lane Rothenberg, DDS

• Behavior Analyst in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.