Peninsula Academy for Autism

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PENINSULA ACADEMY FOR AUTISM

Practice address

12749 Nettles Dr
Newport News, VA 23606-1804

Phone

(757) 223-0558

Fax

(757) 223-0559

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sydney Randall Johnson Mrowiec, M.S.

Title

Executive Director

Phone

(757) 223-0558

Specialties & licenses 1

Addresses

Other names 1

• Peninsula School for Autism Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Greer, PHD, BCBA-D, LBA

  • Behavior Analyst
  • Matthews, NC
  • NPI 1275182289
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1477830503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12749 NETTLES DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061804",
            "telephone_number": "757-223-0558",
            "fax_number": "757-223-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12749 NETTLES DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061804",
            "telephone_number": "757-223-0558",
            "fax_number": "757-223-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ACADEMY FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MROWIEC",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "RANDALL JOHNSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-223-0558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula School for Autism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamia Peeples
• Valerie Rose Pelton
• Sharon L Pemberton, FNP-BC
• Pen Transport LLC
• Bayley Pendleton, ATC
• Peninsula Agency on Aging
• Peninsula ASC, LLC
• Peninsula Cancer Institute, LLC
• Peninsula Community Solutions
• Peninsula Counseling Center of Virginia, LLC

• Behavior Analyst in Newport News, VA
• Providers in Newport News, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.