Individual
MADISON WAMBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 WEST LAWERANCE HARRIS HWY 52, SLOCOMB, AL 36375
(334) 618-3302
Mailing address
427 WEST LAWERANCE HARRIS HWY 52, SLOCOMB, AL 36375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-109628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-109628
RBT NUMBER
FL
Enumeration date
07/08/2026
Last updated
07/08/2026
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