Kelley Fowler, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-83044 Issued in IL

Practice address

854 W Newport Ave Apt 2
Chicago, IL 60657-2345

Phone

(314) 409-5020

NPI assigned

Sep 8, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1235049933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W NEWPORT AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572345",
            "telephone_number": "314-409-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W NEWPORT AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572345",
            "telephone_number": "314-409-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KELLEY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-25-83044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Fowler, CNM
• Bridget Fowler, PT, DPT
• Edwaed Weldon Fowler, PAC
• Jasmine Ashley Fowler, APRN
• Kandi M Fowler, CADC,MISA1,CAMS11
• Krystal M Fowler, LCPC; LPC
• Michelle Ann Fowler, CRNA
• Nadja Fowler, M.ED., LCPC
• Nancy Christine Fowler, APRN, BC, CNP
• Stephanie Fowler, LCPC, CADC

• Behavior Analyst in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Analyst in Illinois

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

Verify at the official NPI Registry.