Kara Etheredge, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3124 W Main St Ste 9
Dothan, AL 36305-1181

Phone

(334) 714-3696

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

Yes

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 Arts

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 and National Provider Directory roles.

• ABA Therapy & Consulting Services

  • Behavior Analyst
  • Dothan, AL
  • NPI 1578968780
  NPD Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1972907780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 9",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-714-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 9",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-714-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "KARA",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Leif Eriksen, DC
• Tonya Ernsberger, CRNP
• Robert Craig Espy, CRNP
• Brittany Morgan Estell, MD
• Mason Estes
• Kristyn Rouse Etheredge, LPC
• Leslie Ann Ethridge, CRNP, FNP
• James Anthony Eubanks Jr., MSPT, OCS
• Clinton Wilkinson Evans, M.D., D.M.D.
• David H Evans, MD

• Behavior Analyst in Dothan, AL
• Providers in Dothan, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.