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Active NPI 1336619485 Individual Practitioner Male Practitioner

Khiry Shae Maddox , MED, BCBA, LBA

Behavior Analyst • Bowling Green, KY

Professional Overview & Biography Verified Profile Summary

Khiry Maddox, MED, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Bowling Green, KY. Practice services are available at 1220 ASHLEY CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1220 Ashley Cir

Bowling Green, KY 421043338

Telephone 8554445664
Associated Practice Facility / Clinic
🏢 Joe C. Tucker, O.d., P.c.s Facility NPI 1164451019

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.7 Yrs
Regional Practice Density
54 Specialists

Practicing in Bowling Green, KY (784 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: 2025-12-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 245478

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba Certificate
1-18-32527

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kaiden Leonard

Behavior Technician

NPI 1003735630
Angel Willis

Behavior Technician

NPI 1013761642
Trinity Rammel , BCBA

Behavior Analyst

NPI 1023685682

Board Certified Behavior Analyst

Aleigh Warren

Behavior Analyst

NPI 1033749247
Jenna Jones

Behavior Technician

NPI 1033817242
Luna Ramirez

Behavior Technician

NPI 1043105513

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 02, 2025

Registered at 1220 ASHLEY CIR, BOWLING GREEN, KY 421043338 (Tel: 8554445664)

📍
Updated Business Mailing Address December 02, 2025

Registered at 1220 ASHLEY CIR, BOWLING GREEN, KY 421043338 (Tel: 8554445664)

📍
Updated Practice Location October 12, 2021

Registered at 2427 RUSSELLVILLE RD, BOWLING GREEN, KY 421013980 (Tel: 2709367472)

📍
Updated Practice Location October 04, 2021

Registered at 1300 E NEW CIRCLE ROAD, SUITE 150, LEXINGTON, KY 405059001 (Tel: 8596851019)

📍
Updated Business Mailing Address October 04, 2021

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

👤
Provider Name / Credentials Updated October 04, 2021

Recorded as KHIRY MADDOX, MED, BCBA, LBA

NPI Profile Active December 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2018

Registered at 112 DENNIS DR, LEXINGTON, KY 405032988 (Tel: 8595596041)

📍
Updated Business Mailing Address December 03, 2018

Registered at 112 DENNIS DR, LEXINGTON, KY 405032988 (Tel: 8595596041)

👤
Provider Name / Credentials Updated December 03, 2018

Recorded as KHIRY MADDOX, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2018

Behavior Analyst (License #245478 in KY)

🟢
Initial NPI Registration & Enumeration December 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336619485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2018
Last Update: December 02, 2025
Sole Proprietor: No

Mailing Address

1220 Ashley Cir

Bowling Green, KY 421043338

Phone: 8554445664

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.