Individual provider Active NPI

Alicia B Waranis

  • Behavior Analyst
  • King of Prussia, PA
National Provider Identifier
1346633641
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16942 Issued in NJ
Practice address
583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238
Phone
(484) 681-2170
Fax
(484) 320-8307
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-16942 NJ Primary

Addresses

Primary practice location

583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238

Mailing address

74 Irwin PL
Lawrence Township, NJ 08648-3902
Phone (908) 268-8455

Other practice location 1

1851 Old Cuthbert Rd
Cherry Hill, NJ 08034-1415
Phone (484) 681-2170

Other practice location 2

65 Mechanic St
Red Bank, NJ 07701-1869
Phone (732) 687-2418

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA and Main Behavior Analyst CurrentSince Oct 10, 2021 Accepting new patients
Behavior Interventions, Inc Behavior Analyst CurrentSince Dec 5, 2021 Accepting new patients

Locations

583 Shoemaker Rd
Ste 230
King of Prussia, PA 19406
Phone (484) 324-8307

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1346633641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 IRWIN PL",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086483902",
            "telephone_number": "908-268-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SHOEMAKER RD STE 230",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064238",
            "telephone_number": "484-681-2170",
            "fax_number": "484-320-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Old Cuthbert Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341415",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "fax_number": "484-320-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Mechanic St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011869",
            "country_code": "US",
            "telephone_number": "732-687-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARANIS",
        "first_name": "ALICIA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-14-16942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.