Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336748078 Individual Practitioner Female Practitioner

Taylor Marie Kidwell , MS, BCBA, LBA

Behavior Analyst • Edgewood, KY

Professional Overview & Biography Verified Profile Summary

Taylor Kidwell, MS, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Edgewood, KY. Practice services are available at 2904 FOLTZ DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2904 Foltz Dr

Edgewood, KY 410172525

Telephone 8597953000
Fax 3175208200
Associated Practice Facility / Clinic
🏢 Hopebridge, Llc Facility NPI 1891210159

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Edgewood, KY

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

Practicing in Edgewood, 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: 2024-12-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 296517

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License None 1-24-77468

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
1-24-77468

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003205543

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Jacob Tonna

Behavior Analyst

NPI 1003222977
NPI 1003313644

Master of Arts, Board Certified Behavior Analyst

NPI 1003337445

Master of Science, Board Certified Behavior Analyst

Karynthia Little

Behavior Analyst

NPI 1003385410
Taylor Caddell , RBT

Behavior Technician

NPI 1003400417

Registered Behavior Technician

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated December 19, 2024

Recorded as TAYLOR KIDWELL, MS, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2024

Behavior Analyst (License #296517 in KY)

📍
Updated Practice Location November 21, 2024

Registered at 2904 FOLTZ DR, EDGEWOOD, KY 410172525 (Tel: 8597953000)

📍
Updated Business Mailing Address November 21, 2024

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

👤
Provider Name / Credentials Updated November 21, 2024

Recorded as TAYLOR KIDWELL, MS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

Behavior Analyst (License #1-24-77468 in None)

NPI Profile Active October 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2020

Registered at 300 E BUSINESS WAY, SUITE 200, CINCINNATI, OH 452412384 (Tel: 3039898169)

📍
Updated Business Mailing Address October 23, 2020

Registered at 300 E BUSINESS WAY, SUITE 200, CINCINNATI, OH 452412384

👤
Provider Name / Credentials Updated October 23, 2020

Recorded as TAYLOR BASTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336748078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2020
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

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.