Kylie Gamble

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23-313444 Issued in AL

Practice address

112 Adris PL
Dothan, AL 36303-1997

Phone

(334) 618-3302

NPI assigned

Dec 14, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 Associates LLC

  • Behavior Analyst
  • Dothan, AL
  • NPI 1477832970
  NPD

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1356119705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ADRIS PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ADRIS PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031997",
            "telephone_number": "334-618-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "23-313444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "23-313444",
            "identifier": "OTHER",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen A Gabrielson, MD
• Tony Downing Gabrielson, M.D.
• Galloway Dental Implants and Periodontics, P.C.
• Pamela Galloway, RN, CLC, DOULA
• Patrick Brannon Galloway, DDS, MS
• Aubrey Dustin Gandy, D.O.
• Herbert H Gannon Jr., MD
• Timothy Hugh Gannon, MD
• William Timothy Gannon, M.D.
• Michael W Garland, BS PHARM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.