Alexis Wicke, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401000906 Issued in MI

Practice address

1555 Industrial Dr
Owosso, MI 48867-9775

Phone

(989) 723-6791

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Alexis Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dewayne Cotton

  • Behavior Technician
  • Saginaw, MI
  • NPI 1972111789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1134675754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 3 Mile Rd NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495441691",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20332 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481805310",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27600 Northwestern Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480348400",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Golfside Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971145",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKE",
        "first_name": "ALEXIS",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "KENNEDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhonda K Whelan, D.O.
• Josilyn White
• Sarah White
• Kayley Whiteherse
• Abbygail Whitt, LLMSW
• Ashley Wickham
• Paul Robert Wiese, PH.D.
• Shelly Wiggins, MA. LPC
• Charles Wilkerson Jr.
• Chelsea Louise Wilkins, LMSW

• Behavior Analyst in Owosso, MI
• Providers in Owosso, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.