Shirley Liao Barker, MS, BCBA, LBA

Individual provider Active NPI Behavior Analyst · Coxs Creek, KY

NPI 1124894878 · NPPES record last updated Feb 2, 2025

Key facts

NPI
1124894878
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
297039 (KY)
Practice address
2606 Mobley Mill Rd
Coxs Creek, KY 40013-7659
Phone
(502) 689-6478
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
297039KYMDBehavioral Analyst
0133004108VAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133004108 VA
Behavior Analyst 103K00000X 1-24-78027
Behavior Analyst 103K00000X 297039 KY Yes

Addresses

Primary practice location

2606 Mobley Mill Rd
Coxs Creek, KY 40013-7659

Mailing address

2606 Mobley Mill Rd
Coxs Creek, KY 40013-7659
Phone (502) 689-6478

Other identifiers

IdentifierTypeStateIssuer
1-24-78027OtherBCBA CERTIFICATE

Other names

  • Xiang Pen Liao Former name

Other providers in Coxs Creek, KY

All providers in Coxs Creek, KY · Behavior Analyst in Kentucky

Sources for this page

Verify at the official NPI Registry.