Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Khiry Shae Maddox, MED, BCBA, LBA

Individual provider Behavior Analyst · NPI 1336619485

Mr. Khiry Shae Maddox, MED, BCBA, LBA is a Behavior Analyst in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1220 Ashley Cir
Bowling Green, KY 42104-3338
Phone: (855) 444-5664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 245478 (KY)

Record details

NPI number1336619485
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , BCBA , LBA
Sole proprietorNo
NPI enumeratedDecember 3, 2018
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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