Active NPI
Kayleen Wingo, BCBA
- Behavior Analyst
- Jacksonville, TX
National Provider Identifier
1659078442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BHV-010851
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7761 | TX | MD | Assistant Behavior Analyst |
| RBT-22-222565 | TX | MD | Behavior 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.