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Aaron Matthew Chanicka

Assistant Behavior Analyst β€’ Davenport, FL

Active NPI 1578001822 Individual Practitioner Male Practitioner
Practice location in NPPES

2243 North Blvd W
Davenport, FL 338378990

Call 8622701139 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2243 North Blvd W

Davenport, FL 338378990

Telephone 8622701139
Organization at the Same NPPES Address or Phone
Suma & Durga Pa Facility NPI 1215250535

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Davenport and Florida

2 active clinicians are listed under Assistant Behavior Analyst with a practice address in Davenport, FL (2,309 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-02
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES FL 0-19-10217

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Sumalatha Gangina , MD

Internal Medicine - Infectious Disease

NPI 1700041282

Doctor of Medicine (M.D.)

Dr. Durga Maganti , MD

Internal Medicine - Infectious Disease

NPI 1619075579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location February 02, 2025

Registered at 2243 NORTH BLVD W, DAVENPORT, FL 338378990 (Tel: 8622701139)

πŸ“
Updated Business Mailing Address February 02, 2025

Registered at 2243 NORTH BLVD W, DAVENPORT, FL 338378990

πŸ“
Updated Practice Location January 13, 2022

Registered at 171 WEBB DR STE 2, DAVENPORT, FL 338373963 (Tel: 8622701139)

πŸ“
Updated Business Mailing Address January 13, 2022

Registered at 171 WEBB DR STE 2, DAVENPORT, FL 338373963

πŸ“
Updated Practice Location October 13, 2021

Registered at 10150 HIGHLAND MANOR DR STE 200, TAMPA, FL 336109712 (Tel: 8636020698)

πŸ“
Updated Business Mailing Address October 13, 2021

Registered at PO BOX 6553, LAKELAND, FL 338076553 (Tel: 8636020698)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Assistant Behavior Analyst (license number reported to NPPES: FL 0-19-10217)

βœ…
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2017

Registered at 10920 MOSS PARK RD, SUITE 100, ORLANDO, FL 328326086 (Tel: 8666100580)

πŸ“
Business Mailing Address (Initial Record) February 07, 2017

Registered at 175 MIDDLE ST, SUITE 1201, LAKE MARY, FL 327463625 (Tel: 8666100580)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2017

Recorded as AARON CHANICKA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578001822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2017
Last Update: February 02, 2025
Sole Proprietor: Yes

Mailing Address

2243 North Blvd W

Davenport, FL 338378990

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.