Chanuki Wanniarachchi Kankanmge

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

19108602 Issued in FL

Practice address

644 Tallulah TRL
Warner Robins, GA 31088-7625

Phone

(478) 225-2179

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Goal Point Behavior Group LLC

  • Behavior Analyst
  • Warner Robins, GA
  • NPI 1104319854
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1407457401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INDEPENDENCE DR STE D",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887814",
            "telephone_number": "478-333-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 TALLULAH TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887625",
            "telephone_number": "478-225-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNIARACHCHI KANKANMGE",
        "first_name": "CHANUKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "19108602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrell Richard Wallace Jr., PA C
• William L Walls, BOCO, CPED, CO,OPA-C
• Alton Luke Walton, PHARMD
• William Walton, MS, BCBA
• Amber Carden Wangsness, O.T.
• Marsha A Ward Roberts, APRN
• Lester Louis Ward Jr.
• Marquita Ward
• Rebecca Ward, RN
• Aisha Ware

• Behavior Analyst in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.