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

KENNAN JAY LISTON BCBA
NPI 1972004760
Behavior Analyst in Fishers, IN

Q: What is Kennan Liston's NPI number?

The NPI number for Kennan Liston is 1972004760. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Kennan Liston'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 Kennan Liston was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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 February 27, 2018

12175 VISIONARY WAY STE 800, FISHERS, IN 46038(463) 777-5914 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, May 20, 2022, Feb 27, 2018 (3 updates tracked since 2018).

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About Kennan Jay Liston Bcba NPPES

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

KENNAN JAY LISTON BCBA (NPI 1972004760) is an individual behavior analyst provider in Fishers, Indiana and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1972004760

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameKENNAN JAY LISTONCredential: BCBA

Location Address12175 VISIONARY WAY STE 800Fishers, IN 46038-3069

Mailing Address12175 Visionary Way Ste 800Fishers, IN 46038-3069 · (463) 777-5914 · Fax (463) 800-3415

Phone(463) 777-5914

Sole ProprietorNo

Enumeration DateFebruary 27, 2018

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1972004760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

12175 VISIONARY WAY STE 800, Fishers, IN 46038

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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 2

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

ELLIE MARIE PRIDDY

Behavior Technician

12175 VISIONARY WAY STE 800
FISHERS, IN 46038

Hamilton County (463) 777-5914

MAX ARMSTRONG

Behavior Technician

12175 VISIONARY WAY STE 800
FISHERS, IN 46038

Hamilton County (463) 777-5914

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 Kennan Liston's NPI number?

The NPI number for Kennan Liston is 1972004760. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Kennan Liston located?

Kennan Liston practices at 12175 Visionary Way Ste 800, Fishers, IN 46038. The listed phone number is (463) 777-5914.

What is Kennan Liston's specialty?

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

What insurance does Kennan Liston accept?

Health plans from CareSource and Providence Health Plan list Kennan Liston 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 Kennan Liston was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.