Kayla A Petrie, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2462 Issued in MA

Practice address

54 Lake Dr
Plymouth, MA 02360-5644

Phone

(508) 287-4105

NPI assigned

Apr 24, 2018

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

State licenses

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.

• Bridge Behavior Services, LLC

  • Behavior Analyst
  • Plymouth, MA
  • NPI 1538937842
  NPD Authorized official
• Greater Boston ABA Associates

  • Behavior Analyst
  • Hingham, MA
  • NPI 1982192597
  NPD
• Reach Educational Services, Inc

  • Behavior Analyst
  • East Sandwich, MA
  • NPI 1992161699
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1568950616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LAKE DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605644",
            "telephone_number": "508-287-4105",
            "fax_number": "781-385-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LAKE DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605644",
            "telephone_number": "508-287-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 HMS Stayner Drive",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020431664",
            "country_code": "US",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Route 6A",
            "address_purpose": "LOCATION",
            "city": "E Sandwich",
            "state": "MA",
            "postal_code": "025371585",
            "country_code": "US",
            "telephone_number": "774-205-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "KAYLA",
        "middle_name": "A",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Virginia Perryman
• Peter T Cressman DMD PC
• Sinead Marie Petersen, PH.D., LMHC., BCBA.,
• Heather Petitpas, LMHC
• Janet Elizabeth Petrella, L.I.C.S.W.
• Jeffry Petrosevich
• Curtis James Petruzzelli, MD
• John Richard Pettinato, D.O.
• Iris Mae Pevzner, RBT
• Mark Pham, D.M.D.

• Behavior Analyst in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.