MADISON L BROADWELL
NPI 1093596397
Behavior Technician in Jacksonville, NC

Active since October 12, 2023
1368 PINEY GREEN RD, JACKSONVILLE, NC 28546(254) 577-0704 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison L Broadwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON L BROADWELL (NPI 1093596397) is an individual behavior technician in Jacksonville, North Carolina, licensed in North Carolina (RBT-23-303681) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1093596397
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMADISON L BROADWELL
Location Address1368 PINEY GREEN RDJacksonville, NC 28546-4580
Mailing Address1368 Piney Green RdJacksonville, NC 28546-4580 · (254) 577-0704
Sole ProprietorNo
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1093596397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NC · RBT-23-303681
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1368 PINEY GREEN RD, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1368 PINEY GREEN RD
JACKSONVILLE, NC 28546
Behavior Analyst
1368 PINEY GREEN RD
JACKSONVILLE, NC 28546
Behavior Technician
1368 PINEY GREEN RD
JACKSONVILLE, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Broadwell's NPI number?

The NPI number for Madison Broadwell is 1093596397. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Madison Broadwell located?

Madison Broadwell practices at 1368 Piney Green Rd, Jacksonville, NC 28546. The listed phone number is (254) 577-0704.

What is Madison Broadwell's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Madison Broadwell was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.