NPI Code Details Logo

NPI 1063373454

NPI 1063373454 : RANIA BANKS : EVANS, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063373454
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RANIA BANKS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/24/2025
-----------------------------------------------------
    Last Update Date     |    11/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2550 TRADE CENTER DR UNIT G 
-----------------------------------------------------
    City                 |    EVANS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30809-6167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-723-8458
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3707 RIDGECREST DR # 3707 
-----------------------------------------------------
    City                 |    AUGUSTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30907-4855
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-319-1559
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.