CHANUKI WANNIARACHCHI KANKANMGE


Address: 644 Tallulah Trl, Warner Robins, GA 31088-7625
Phone: 4782252179

CHANUKI WANNIARACHCHI KANKANMGE (NPI# 1407457401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407457401
Entity Type Individual
Full Name CHANUKI WANNIARACHCHI KANKANMGE
Practice Address 644 Tallulah Trl
Warner Robins
GA 31088-7625
Mailing Address 107 Independence Dr Ste D
Warner Robins
GA 31088-7814
Practice Telephone 4782252179
Mailing Telephone 4783335016
Enumeration Date 2020-11-05
Last Update Date 2020-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 19108602 FL Behavioral Health & Social Service Providers

Office Location

Street Address 644 TALLULAH TRL
City WARNER ROBINS
State GA
Zip Code 31088-7625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093758294 Ralph Austin Jr. Family Medicine 644 Tallulah Trl, Warner Robins, GA 31088-7625 2006-06-14
1639770167 Reyna Behavior Garcia Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-11-02
1942809223 Auscia Williams Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1821697145 Hannah Albritton Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1366041691 Abigail Ingram Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1245839562 Ashley Cabello Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1780283036 Marcus Mcclain Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1023617354 Cecilia Zavala-arevalo Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1003415340 Laurel Savelli Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
1699330936 Rebecca B Sapp Speech-Language Pathologist 644 Tallulah Trl, Warner Robins, GA 31088-7625 2019-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218921 Sarah Newman Pharmacist 1081 Ga-96, Warner Robins, GA 31088 2020-09-08
1619599115 Alana Jane Sibley Registered Nurse 940 Ga - 96, Warner Robins, GA 31088 2020-05-07
1033779657 Jodi Lynne Pettygrove Nurse Practitioner 115 Havelock Cir, Warner Robins, GA 31088 2019-06-17
1164994901 Gwendolyn Jordan Taylor Registered Nurse 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 2018-12-18
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1518435676 Phoenix Health Center Case Management 940 Ga-96, Warner Robins, GA 31088 2018-11-07
1427534320 Jared Dean Johnson Social Worker 146 Lakepointe Drive, Warner Robins, GA 31088 2018-07-13
1285124180 Cmp Academy & Billing Service Contractor 105 S Commercial Circle, Warner Robins, GA 31088 2018-05-16
1730692377 Benzer Pharmacy Pharmacy 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 2017-11-06
1821507476 Timothy Doyle Thomas Registered Nurse 940-c Hwy 96, Warner Robins, GA 31088 2017-09-27
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962027417 Takira Palmer Behavioral Analyst 210 Southland Station Dr Apt 162, Warner Robins, GA 31088-3267 2020-06-10
1457992653 Naomi R Cash Behavioral Analyst 310 Northlake Dr Apt 108, Warner Robins, GA 31093-1680 2019-09-30
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1043679426 Lori Demello Behavioral Analyst 477 Holly Drive, Warner Robins, GA 31098 2016-02-15
1053793547 Marsha Seldon Behavioral Analyst 103 Dewey St, Warner Robins, GA 31093-2410 2015-06-22
1841620978 Ladelia Snell Behavioral Analyst 732 Katherine St, Warner Robins, GA 31088-4551 2013-11-27
1841544244 Darcy Crow Behavioral Analyst 1000 Corporate Pointe Ste 109, Warner Robins, GA 31088-3439 2012-11-07
1902043722 Bridgette Arno Behavioral Analyst 310 Oxton Ct, Warner Robins, GA 31088-3070 2009-01-15
1639770167 Reyna Behavior Garcia Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-11-02
1942809223 Auscia Williams Behavioral Analyst 644 Tallulah Trl, Warner Robins, GA 31088-7625 2020-10-19
Find all providers in WARNER ROBINS

Competitor

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City WARNER ROBINS
Zip Code 31088

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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