Denae Nichole Wilkinson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18544 Issued in TX

Practice address

11606 Southfork Ave
Building 300
Baton Rouge, LA 70816-5235

Phone

(225) 292-5981

Fax

(225) 612-6631

NPI assigned

Jun 1, 2015

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

Other names 1

• Denae Nichole Churchill Former name

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1912387382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 SOUTHFORK AVE",
            "address_2": "BUILDING 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165235",
            "telephone_number": "225-292-5981",
            "fax_number": "225-612-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "DENAE",
        "middle_name": "NICHOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-15-18544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENAE",
            "last_name": "CHURCHILL",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanye Wilkerson, BSW
• Ronald Wilkerson
• Shannon Wilkerson, LPC
• Somari S Wilkes
• Renee Wilkinson Davis, LCSW, BACS
• Ethel Wilkinson
• Jessica Wilkinson, LCSW
• Kenneth Craig Wilkinson Jr., D.D.S.
• Kenneth Craig Wilkinson Sr., DDS
• Madelyn Kaye Wilks

• Behavior Analyst in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.