Anna Osipova, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66399 Issued in TX

Practice address

101 N Brookside Dr
Dallas, TX 75214-4523

Phone

(469) 228-8143

Fax

(469) 242-9708

NPI assigned

Nov 30, 2020

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Play-Based Wellness Behavioral Health PLLC

  • Behavior Analyst
  • Allen, TX
  • NPI 1003672080
  NPD Authorized official

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1043814189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BROOKSIDE DR APT 1315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752147519",
            "telephone_number": "469-228-8143",
            "fax_number": "469-242-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N BROOKSIDE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144523",
            "telephone_number": "469-228-8143",
            "fax_number": "469-242-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIPOVA",
        "first_name": "ANNA",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-23-66399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwuma Soyinka Osifeso, MD
• Fidelia Osifo-Selormey, CNP
• Adebola Osikoya, PMHNP
• Darshunda Osioh
• Jessica Osipenko, NP
• Khadija Osman
• Federico G Osorio, M.D.
• Jaime E Osorio, DDS PA
• Laura Osornio, RD, LD
• Makori Osoro, M.D

• Behavior Analyst in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.