Kinley Marie Waddle, M.ED. BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-80215 Issued in OH

Practice address

4664 Larwell Dr
Columbus, OH 43220-3621

Phone

(614) 487-7805

Fax

(614) 487-7809

NPI assigned

Jul 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• The Silver Lining Group Morrow Co LLC

  • Behavior Analyst
  • Mansfield, OH
  • NPI 1275848707
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1265040224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 GLOXINIA CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199352",
            "telephone_number": "614-634-8370",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 LARWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203621",
            "telephone_number": "614-487-7805",
            "fax_number": "614-487-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "773 Brooksedge Blvd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812821",
            "country_code": "US",
            "telephone_number": "614-401-3366",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDLE",
        "first_name": "KINLEY",
        "middle_name": "MARIE",
        "credential": "M.ED. BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-20-128263",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-25-80215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Wacker, NP
• Mary Wackerly
• Akira Wada, M.D.
• Takuya Wada, MD
• Haley Waddell, CRNA
• Tina Wade-Hairston, PHD
• Adam Brookins Wade, DDS
• Andrew B Wade, D.D.S.,M.S.
• Angela Wade
• Arin Courtney Wade, PC

• Behavior Analyst in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.