Individual provider Active NPI

Taylor Wiseman, BCBA, LBA

  • Behavior Analyst
  • Shelbyville, KY
National Provider Identifier
1851934251
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
268793 Issued in KY
Practice address
998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone
(502) 633-1315
NPI assigned
Oct 18, 2019
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Behavior Analyst 103K00000X 268793 KY Primary

Addresses

Primary practice location

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154

Mailing address

2390 Woodlawn Rd
Shelbyville, KY 40065-9377
Phone (502) 220-5432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor.wiseman@stephensbehavior.org Direct Stephens Behavior Consulting, LLC

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
268793KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Behavior Consulting, LLC CurrentSince Jan 1, 2024 Accepting new patients
Brighter Hope, LLC Behavior Analyst PastSince Oct 20, 2019 Accepting new patients

Locations

998 Brooks Industrial Rd
Shelbyville, KY 40065
Phone (502) 529-6240

Interoperability endpoints

  • Direct secure messaging: taylor.wiseman@stephensbehavior.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1851934251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 WOODLAWN RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659377",
            "telephone_number": "502-220-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "TAYLOR",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "268793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.wiseman@stephensbehavior.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Stephens Behavior Consulting, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "998 Brooks Industrial Rd",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400658154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.