Active NPI
Madison Wambles
- Behavior Technician
- Slocomb, AL
National Provider Identifier
1104744002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-109628
- Practice address
- 427 West Lawerance Harris Hwy 52
Slocomb, AL 36375 - Phone
- (334) 618-3302
- NPI assigned
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-109628 | FL | Primary |
Addresses
Primary practice location
427 West Lawerance Harris Hwy 52
Slocomb, AL 36375
Mailing address
427 West Lawerance Harris Hwy 52
Slocomb, AL 36375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-109628 | Other | FL | RBT NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@abaassociate.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1104744002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 WEST LAWERANCE HARRIS HWY 52",
"city": "SLOCOMB",
"state": "AL",
"postal_code": "36375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 WEST LAWERANCE HARRIS HWY 52",
"city": "SLOCOMB",
"state": "AL",
"postal_code": "36375",
"telephone_number": "334-618-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMBLES",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-109628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT NUMBER",
"identifier": "20-109628",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@abaassociate.com",
"affiliation": "N",
"endpointDescription": "info@abaassociate.com",
"address_1": "427 West Lawerance Harris HWY 52",
"city": "Slocomb",
"state": "AL",
"country_code": "US",
"postal_code": "36375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Slocomb, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.