Individual provider Active NPI

Mallory Nichole Smith

  • Behavior Technician
  • Slocomb, AL
National Provider Identifier
1962310813
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1561097 Issued in AL
Practice address
426 W Lawrence Harris Hwy # 52
Slocomb, AL 36375-5352
Phone
(334) 618-3302
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1561097 AL Primary

Addresses

Primary practice location

426 W Lawrence Harris Hwy # 52
Slocomb, AL 36375-5352

Mailing address

426 W Lawrence Harris Hwy # 52
Slocomb, AL 36375-5352
Phone (334) 618-3302

Other identifiers 1

IdentifierTypeStateIssuer
OTHEROtherAL26-2840971

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@abaassociate.com Other

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": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1962310813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W LAWRENCE HARRIS HWY # 52",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755352",
            "telephone_number": "334-618-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W LAWRENCE HARRIS HWY # 52",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755352",
            "telephone_number": "334-618-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MALLORY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "1561097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "26-2840971",
            "identifier": "OTHER",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@abaassociate.com",
            "affiliation": "N",
            "endpointDescription": "info@abaassociate.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info@abaassociate.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "426 W Lawrence Harris Hwy # 52",
            "city": "Slocomb",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363755352",
            "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 Aug 31, 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.

Verify at the official NPI Registry.