Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699374470 Individual Practitioner Female Practitioner

Stephanie Renae Wilson , BCBA

Behavior Analyst • Kokomo, IN

Professional Overview & Biography Verified Profile Summary

Stephanie Wilson, BCBA is a registered healthcare professional specializing in Behavior Analyst in Kokomo, IN. Practice services are available at 612 E BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 E Boulevard

Kokomo, IN 469022271

Telephone 7654611245
Associated Practice Facility / Clinic
🏢 Villages Of Indiana, Inc Facility NPI 1689849283

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Kokomo, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
59 Specialists

Practicing in Kokomo, IN (2160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IN 1-26-89802

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Riley Wilson

Behavior Technician

NPI 1003613159
Veronika Malott

Behavior Technician

NPI 1003613167
Jessica Lawson

Behavior Technician

NPI 1033882931
Zoe Damron

Behavior Technician

NPI 1033915681
Annelise Bartle

Behavior Technician

NPI 1033915830
Colton Ferren , RBT

Behavior Technician

NPI 1053074823

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 05, 2026

Registered at 612 E BOULEVARD, KOKOMO, IN 469022271 (Tel: 7654611245)

📍
Updated Business Mailing Address June 05, 2026

Registered at 612 E BOULEVARD, KOKOMO, IN 469022271 (Tel: 7654611245)

👤
Provider Name / Credentials Updated June 05, 2026

Recorded as STEPHANIE WILSON, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2026

Behavior Analyst (License #1-26-89802 in IN)

NPI Profile Active October 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2020

Registered at 2513 W 2ND ST, MARION, IN 469523241 (Tel: 7656620490)

📍
Updated Business Mailing Address October 22, 2020

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated October 22, 2020

Recorded as STEPHANIE WILSON, BS, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2020

Behavior Technician (License #RBT-20-128686 in IN)

🟢
Initial NPI Registration & Enumeration October 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699374470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2020
Last Update: June 05, 2026
Sole Proprietor: No

Mailing Address

612 E Boulevard

Kokomo, IN 469022271

Phone: 7654611245

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.