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

Kinley Marie Waddle, MEDBCBA, COBA

Individual provider Behavior Technician · NPI 1265040224

Kinley Marie Waddle, MEDBCBA, COBA is a Behavior Technician in Columbus, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
3

Practice location Address checks out

4664 Larwell Dr
Columbus, OH 43220-3621
Phone: (614) 487-7805
Fax: (614) 487-7809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 773 Brooksedge Blvd, Westerville, OH 43081-2821 — (614) 401-3366

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-25-80215 (OH)
Behavior Technician Taxonomy 106S00000X (OH)
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-128263 (OH)

Record details

NPI number1265040224
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDBCBA , COBA
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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