Khiry Shae Maddox, MED, BCBA, LBA

Behavior Analyst · Bowling Green, KY

Individual Active NPI

NPI number 1336619485

Practice location

1220 Ashley Cir
Bowling Green, KY 42104-3338
Phone
(855) 444-5664

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NPI record

NPI
1336619485
Entity type
Individual (Type 1)
Enumeration date
December 3, 2018
Last updated
December 2, 2025
Certified
December 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 245478 KY

About Khiry Maddox

Khiry Shae Maddox, MED, BCBA, LBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1220 Ashley Cir, Bowling Green, KY 42104-3338. The NPI number 1336619485 was assigned on December 3, 2018 and the record was last updated on December 2, 2025.

Khiry Maddox lists a license in the registry: #245478 (KY) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Khiry Shae Maddox, MED, BCBA, LBA?

The NPI number is 1336619485.

What is the phone number of Khiry Maddox?

The phone number listed for the practice location is (855) 444-5664.

Where is Khiry Maddox located?

1220 Ashley Cir, Bowling Green, KY 42104-3338.

What is the taxonomy code for Khiry Maddox?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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