Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kennan Jay Liston, BCBA

Individual provider Behavior Analyst · NPI 1972004760

Kennan Jay Liston, BCBA is a Behavior Analyst in Fishers, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

12175 Visionary Way Ste 800
Fishers, IN 46038-3069
Phone: (463) 777-5914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1972004760
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address12175 Visionary Way Ste 800, Fishers, IN 46038-3069

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