Shantaviuis Senise Banks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

703 Julius C Simmons Ave Apt 7C
Fort Valley, GA 31030-2568

Phone

(706) 741-9494

NPI assigned

Sep 29, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1417820952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 JULIUS C SIMMONS AVE APT 7C",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310302568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 JULIUS C SIMMONS AVE APT 7C",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310302568",
            "telephone_number": "706-741-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "SHANTAVIUIS",
        "middle_name": "SENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel Malik Anderson
• Latrina Avant
• Avera Drug Co
• Renee Nichols Bailey, FNPC
• Allison Marie Ball, MSN, APRN, FNP-C
• Donna D Bellamy, PHARMD
• Bio-Medical Applications of Georgia, Inc.
• Rose C Birmingham
• Danielle Bivens
• Kenneth M Bleicher

• Behavior Technician in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.