Kiah Nicole Bouie, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9238 S Colfax Ave
Chicago, IL 60617-4029

Phone

(773) 349-2858

Fax

(312) 277-8641

NPI assigned

Sep 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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

• Beyond ABA, LLC

  • Behavior Analyst
  • Chicago, IL
  • NPI 1497314009
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588173546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 S COLFAX AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174029",
            "telephone_number": "773-349-2858",
            "fax_number": "312-277-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 S COLFAX AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174029",
            "telephone_number": "773-349-2858",
            "fax_number": "312-277-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Dogwood Dr",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605174649",
            "country_code": "US",
            "telephone_number": "708-568-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 W 113th Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60643",
            "country_code": "US",
            "telephone_number": "708-275-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUIE",
        "first_name": "KIAH",
        "middle_name": "NICOLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Boughanem, MD
• Ryan Keith Bougher, PHARMD
• Leticia Boughton Price
• Sofia Bougioukli, MD
• Airiel Dior Bouie, MD
• Hamid Bouiri, PHARM.D
• Nikoleta Ninette Boukydis, CLINCAL PSYCHOLOGIST
• Brian Robert Boulay, MD
• Bethany Page Bouldin, MD
• Boulevard Care Center

• 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 Jul 21, 2022; 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.