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MRS. KELLY WISE BCBA, LBA
NPI 1720689722
Behavior Analyst in Georgetown, KY

Active since November 05, 2020
105 WINDSOR PATH STE 1, GEORGETOWN, KY 40324(203) 885-8293 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About Mrs. Kelly Wise Bcba, Lba NPPES

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

MRS. KELLY WISE BCBA, LBA (NPI 1720689722) is an individual behavior analyst provider in Georgetown, Kentucky, licensed in (1-20-45730) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1720689722
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMRS. KELLY WISECredential: BCBA, LBA
Location Address105 WINDSOR PATH STE 1Georgetown, KY 40324-9819
Mailing Address105 Windsor Path Ste 1Georgetown, KY 40324-9819 · (203) 885-8293
Phone(203) 885-8293
Sole ProprietorNo
Enumeration DateNovember 5, 2020
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1720689722 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 · 1-20-45730
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.
105 WINDSOR PATH STE 1, Georgetown, KY 40324
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 15

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

HANNAH FAITH ADAME M.ED., BCBA, LBA
Behavior Analyst
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 559-6041
JESSICA GIBSON PT, DPT
Physical Therapist
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (502) 570-2337
AMBER TOY RBT
Behavior Technician
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 559-6041
MARISSA ANN BRANDON BCBA
Behavior Analyst
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 360-3006
VICTORIA SMITH
Behavior Technician
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 559-6041
LAUREN ELYSE AMMERMAN M.ED
Counselor (Professional)
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 360-3006
EMILY MCINTOSH
Behavior Analyst
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 559-6041
ALYSSA MICHAELA LAWSON RBT
Behavior Technician
105 WINDSOR PATH STE 1
GEORGETOWN, KY 40324
Scott County (859) 360-3006

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 Kelly Wise's NPI number?

The NPI number for Kelly Wise is 1720689722. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Kelly Wise located?

Kelly Wise practices at 105 Windsor Path Ste 1, Georgetown, KY 40324. The listed phone number is (203) 885-8293.

What is Kelly Wise's specialty?

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

What insurance does Kelly Wise accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Wise 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 Kelly Wise was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.