Adrian Elisse Pennick, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

6632 Issued in TX

Practice address

101 E Park Blvd Ste 600
Plano, TX 75074-8818

Phone

(561) 323-6593

NPI assigned

Aug 11, 2021

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1790450823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST STE B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016",
            "telephone_number": "561-323-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK BLVD STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748818",
            "telephone_number": "561-323-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4620 N State Road 7 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333195867",
            "country_code": "US",
            "telephone_number": "561-323-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNICK",
        "first_name": "ADRIAN",
        "middle_name": "ELISSE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "6632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Concepcion Pena
• Eslynn Penamante-Lum, MD
• Patricia Susanne Pencsak, PT
• Colleen A. Pendergrass, P.A.
• Cory Penfold, ATC
• Niya D Pennie, RN
• Susan Pennington, CRNFA
• Penntex Services, LTD. (LifeCare of Texas)
• Penntex Services, LTD. (LifeCare of Texas)
• Sarah Christine Penoli

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.