Individual provider Active NPI

Kayleen Wingo, BCBA

  • Behavior Analyst
  • Jacksonville, TX
National Provider Identifier
1659078442
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BHV-010851 Issued in TX
Practice address
545 County Road 3113
Jacksonville, TX 75766-1337
Phone
(903) 714-4224
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BHV-010851 TX Primary
Assistant Behavior Analyst 106E00000X 7761 TX

Addresses

Primary practice location

545 County Road 3113
Jacksonville, TX 75766-1337

Mailing address

545 County Road 3113
Jacksonville, TX 75766-1337
Phone (903) 714-4224

Other practice location 1

8646 Guion Rd
Indianapolis, IN 46268-3011
Phone (317) 334-7331

Other practice location 2

5556 N Meridian St
Indianapolis, IN 46208-2658
Phone (317) 334-7331

Other practice location 3

2220 H G Mosley Pkwy
Longview, TX 75604-3663
Phone (855) 463-6887

Other practice location 4

3009 S John Redditt Dr
Ste E-105
Lufkin, TX 75904-5710
Phone (855) 832-6727

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7761TXMDAssistant Behavior Analyst
RBT-22-222565TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1659078442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 COUNTY ROAD 3113",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757661337",
            "telephone_number": "903-714-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 COUNTY ROAD 3113",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757661337",
            "telephone_number": "903-714-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8646 Guion Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462683011",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5556 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462082658",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756043663",
            "country_code": "US",
            "telephone_number": "855-463-6887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 S John Redditt Dr",
            "address_2": "Ste E-105",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759045710",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGO",
        "first_name": "KAYLEEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BHV-010851",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "7761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.