Andrea Baylen Wiles, OTRL AND BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

276099 Issued in KY

Practice address

910 Red House Rd
Richmond, KY 40475-9326

Phone

(859) 353-5505

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Behavior ABA and Learning Center PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Richmond, KY
  • NPI 1780392662

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1730387523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-358-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 RED HOUSE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759326",
            "telephone_number": "859-353-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Meadowlark Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752238",
            "country_code": "US",
            "telephone_number": "859-623-9472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Richmond Rd N",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "404038788",
            "country_code": "US",
            "telephone_number": "859-986-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILES",
        "first_name": "ANDREA",
        "middle_name": "BAYLEN",
        "credential": "OTRL AND BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R2863",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "276099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Whittington, APRN
• Wholehearted Therapy LLC
• Kari A Wickstrom, AUD
• Levi Wiggins
• Melissa Ann Wilder
• Timothy D Wiley, DMD
• Anthony Wilkerson
• Stephanie Kay Wilkerson, CCC-SLP
• Tami Therese Willard, PTA
• William J. Morgan,D.M.D.,P.S.C.

• Behavior Analyst in Richmond, KY
• Providers in Richmond, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.