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Taylor Marie Kidwell , MS, BCBA, LBA

Behavior Analyst β€’ Edgewood, KY

Active NPI 1336748078 Individual Practitioner Female Practitioner
Practice location in NPPES

2904 Foltz Dr
Edgewood, KY 410172525

Call 8597953000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2904 Foltz Dr

Edgewood, KY 410172525

Telephone 8597953000
Fax 3175208200
Organization at the Same NPPES Address or Phone
Hopebridge, Llc Facility NPI 1891210159

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edgewood and Kentucky

25 active clinicians are listed under Behavior Analyst with a practice address in Edgewood, KY (782 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edgewood

0% of these 25 clinicians have the CMS telehealth indicator.

0% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES KY 296517

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-24-77468

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcba Certificate
1-24-77468

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 19, 2024

Recorded as TAYLOR KIDWELL, MS, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2024

Behavior Analyst (license number reported to NPPES: KY 296517)

πŸ“
Updated Practice Location November 21, 2024

Registered at 2904 FOLTZ DR, EDGEWOOD, KY 410172525 (Tel: 8597953000)

πŸ“
Updated Business Mailing Address November 21, 2024

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ‘€
Provider Name / Credentials Updated November 21, 2024

Recorded as TAYLOR KIDWELL, MS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

Behavior Analyst (license number reported to NPPES: None 1-24-77468)

βœ…
NPI Profile Active October 23, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2020

Registered at 300 E BUSINESS WAY, SUITE 200, CINCINNATI, OH 452412384 (Tel: 3039898169)

πŸ“
Business Mailing Address (Initial Record) October 23, 2020

Registered at 300 E BUSINESS WAY, SUITE 200, CINCINNATI, OH 452412384

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2020

Recorded as TAYLOR BASTON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration October 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336748078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2020
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.