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

Mrs. Kelly Wise, BCBA, LBA

Individual provider Behavior Analyst · NPI 1720689722

Mrs. Kelly Wise, BCBA, LBA is a Behavior Analyst in Georgetown, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
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

105 Windsor Path Ste 1
Georgetown, KY 40324-9819
Phone: (203) 885-8293
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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 1-20-45730

Record details

NPI number1720689722
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESJanuary 5, 2022
Certification dateNovember 19, 2020

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