Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720689722 Individual Practitioner Female Practitioner

Kelly Wise , BCBA, LBA

Behavior Analyst • Georgetown, KY

Professional Overview & Biography Verified Profile Summary

Kelly Wise, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Georgetown, KY. Practice services are available at 105 WINDSOR PATH STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Windsor Path Ste 1

Georgetown, KY 403249819

Telephone 2038858293

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Georgetown, KY

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

Practicing in Georgetown, 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: 2020-11-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-20-45730

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

15 Associated Practitioners
NPI 1023774635

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

NPI 1124446364

Physical Therapist, Doctor of Physical Therapy

Amber Toy , RBT

Behavior Technician

NPI 1316523434

Registered Behavior Technician

Marissa Brandon , BCBA

Behavior Analyst

NPI 1326699646

Board Certified Behavior Analyst

Victoria Smith

Behavior Technician

NPI 1396489787
Lauren Ammerman , MED

Counselor - Professional

NPI 1427712058

Master of Education

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated January 05, 2022

Recorded as KELLY WISE, BCBA, LBA

NPI Profile Active November 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2020

Registered at 105 WINDSOR PATH STE 1, GEORGETOWN, KY 403249819 (Tel: 2038858293)

📍
Updated Business Mailing Address November 05, 2020

Registered at 105 WINDSOR PATH STE 1, GEORGETOWN, KY 403249819 (Tel: 2038858293)

👤
Provider Name / Credentials Updated November 05, 2020

Recorded as KELLY BURTON, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2020

Behavior Analyst (License #1-20-45730 in None)

🟢
Initial NPI Registration & Enumeration November 05, 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: 1720689722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2020
Last Update: January 05, 2022
Sole Proprietor: No

Mailing Address

105 Windsor Path Ste 1

Georgetown, KY 403249819

Phone: 2038858293

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.