Pennington Group Full Spectrum Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000512 Issued in VA

Legal business name

PENNINGTON GROUP FULL SPECTRUM SERVICES

Practice address

561 Sterling Rd
Virginia Beach, VA 23464-2025

Phone

(757) 472-1930

NPI assigned

Dec 10, 2015

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Suzanna Myers, BCBA, LBA

Title

Board Certified Behavior Analyst

Phone

(757) 472-1930

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanna Caraway Owen, BCBA

  • Behavior Analyst
  • Clinton, NC
  • NPI 1821420407
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1235504671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 STERLING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 STERLING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642025",
            "telephone_number": "757-472-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON GROUP FULL SPECTRUM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "757-472-1930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Penerton, LPC
• Peninsula Institute for Community Health Inc (Virginia Beach Housing Resource Center Health Clinic)
• Peninsula Institute for Community Health Inc (Virginia Beach Family Medicine)
• Bojana Penjevic, DPT
• Cassidy Elizabeth Penley, COTA
• Alexis Ambrose Pennington, M.S., CCC-SLP
• Tracey O Pennington, M.D.,M.P.H.
• Peoples Behavioral Health
• Peoples Transport Service LLC
• Melissa Peppenhorst

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.