Madison Marie Calton, MS, BCBA, LBA

Key facts

NPI

1215547682

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

1-23-67730

Practice address

5465 Able CT
Mobile, AL 36693-3100

Phone

(251) 644-5938

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Specialties & licenses

Addresses

Other identifiers

Other names

• Miss Madison Marie Williams Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2023.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1215547682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 ABLE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933100",
            "telephone_number": "251-644-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 ABLE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933100",
            "telephone_number": "251-644-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTON",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-67730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT-19-96007",
            "identifier": "RBT-19-96007",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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