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MR. KHIRY SHAE MADDOX MED, BCBA, LBA
NPI 1336619485
Behavior Analyst in Bowling Green, KY

Active since December 03, 2018
1220 ASHLEY CIR, BOWLING GREEN, KY 42104(855) 444-5664 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2025, Oct 12, 2021, Oct 4, 2021 and 1 more (4 updates tracked since 2018).

About Mr. Khiry Shae Maddox Med, Bcba, Lba NPPES

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

MR. KHIRY SHAE MADDOX MED, BCBA, LBA (NPI 1336619485) is an individual behavior analyst provider in Bowling Green, Kentucky, licensed in Kentucky (245478) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1336619485
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. KHIRY SHAE MADDOXCredential: MED, BCBA, LBA
Location Address1220 ASHLEY CIRBowling Green, KY 42104-3338
Mailing Address1220 Ashley CirBowling Green, KY 42104-3338 · (855) 444-5664
Phone(855) 444-5664
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1336619485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in KY · 245478
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.
1220 ASHLEY CIR, Bowling Green, KY 42104
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Other Identifiers 1

Other1-18-32527Bcba Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

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

ANASTAZIA RAYNE RAYMER
Behavior Analyst
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (270) 936-7472
LYDIA B MARTIN MS, RBT
Behavior Analyst
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (800) 345-0448
JOE C. TUCKER, O.D., P.C.S
Optometrist
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (270) 843-3904
MRS. ANNA ELIZABETH HOJNACKI RBT
Behavior Technician
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (859) 391-7456
MATTHEW BOSHEARS RBT
Behavior Technician
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (859) 479-6005
JAYLEE WOODS
Behavior Technician
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (270) 943-2055
DARIAN THOMPSON
Behavior Technician
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (270) 617-0724
MATTHEW HOWERTON
Behavior Analyst
1220 ASHLEY CIR
BOWLING GREEN, KY 42104
Warren County (859) 303-9891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khiry Maddox's NPI number?

The NPI number for Khiry Maddox is 1336619485. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Khiry Maddox located?

Khiry Maddox practices at 1220 Ashley Cir, Bowling Green, KY 42104. The listed phone number is (855) 444-5664.

What is Khiry Maddox's specialty?

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

What insurance does Khiry Maddox accept?

Health plans from CareSource and Providence Health Plan list Khiry Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khiry Maddox was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.