Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS WICKE MA, BCBA
NPI 1134675754
Behavior Analyst in Owosso, MI

Q: What is Alexis Wicke's NPI number?

The NPI number for Alexis Wicke is 1134675754. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Alexis Kennedy.

Q: What is Alexis Wicke's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Wicke was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2016

1555 INDUSTRIAL DR, OWOSSO, MI 48867(989) 723-6791 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Mar 26, 2026, May 28, 2025 and 3 more (6 updates tracked since 2016).

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About Alexis Wicke Ma, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS WICKE MA, BCBA (NPI 1134675754) is an individual behavior analyst provider in Owosso, Michigan, licensed in Michigan (7401000906) and active in the NPI registry since September 2016. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1134675754

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameALEXIS WICKECredential: MA, BCBA

Location Address1555 INDUSTRIAL DROwosso, MI 48867-9775

Mailing Address1555 Industrial DrOwosso, MI 48867-9775

Phone(989) 723-6791

Sole ProprietorNo

Enumeration DateSeptember 1, 2016

Last NPPES UpdateJuly 8, 20266 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1134675754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MI · 7401000906

Definition

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.

Also ListedTechnician, OtherTaxonomy 247200000X

1555 INDUSTRIAL DR, Owosso, MI 48867

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Other Names 1

Former Name (1)Alexis Kennedy

Secondary Practice Locations 4

Location 120332 Eureka RdTaylor, MI 48180-5310 · Phone (248) 846-8700

Location 2600 3 Mile Rd NW Ste 200Grand Rapids, MI 49544-1691 · Phone (855) 832-6727

Location 32111 Golfside Rd Ste 3Ypsilanti, MI 48197-1145 · Phone (248) 846-8700

Location 427600 Northwestern Hwy Ste 150Southfield, MI 48034-8400 · Phone (248) 846-8700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GEORGE GARCIA MALLP

Psychologist (Clinical)