Khiry Shae Maddox, MED, BCBA, LBA Valid NPI

Individual provider · Behavior Analyst · Bowling Green, KY

NPI

1336619485

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

License number

245478 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2018-12-03

Last updated

2025-12-02