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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KHIRY SHAE MADDOX, MED, BCBA, LBA

Active

MR. KHIRY SHAE MADDOX, MED, BCBA, LBA is a Behavior Analyst healthcare provider located in BOWLING GREEN, Kentucky. NPI 1336619485 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · BOWLING GREEN, KY

Registration Details

NPI Number
1336619485
Provider Type
Individual
Gender
Male
NPI Issued
Dec 3, 2018 (7.6931449358359 yrs)
Last Updated
Dec 2, 2025
License
245478 (KY)

Practice Information

Address
1220 ASHLEY CIR
BOWLING GREEN, KY, 421043338
Browse KY providers · Browse ZIP 42104
Phone
8554445664
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in BOWLING GREEN, KY

Name Credential NPI
CHRISTINA NOEL 1497056451
DR. GREGORY RICHMOND MANCIL BCBA-D, LBA 1255612289
BAILEY ANNE PAYNE MS, BCBA 1982986725
DEBRA PICKERING MS BCBA LBA 1407286669
JUSTIN MCDANIEL 1730594631
MR. RYAN BURKE TLBA 1578979019
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.