Ania Sylvia Petrova, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH003643 Issued in PA

Practice address

15 Garrison PL
Newtown, PA 18940-1711

Phone

(215) 359-7874

NPI assigned

Aug 29, 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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive ABA

  • Behavior Analyst
  • Newtown, PA
  • NPI 1417578345
  NPD Authorized official
• Elevated Kids

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1871128850
  NPD
• Gym-Jam Therapeutics, Inc.

  • Community/Behavioral Health Agency
  • Pottsville, PA
  • NPI 1801337910

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1891277661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GARRISON PL",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401711",
            "telephone_number": "215-359-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GARRISON PL",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401711",
            "telephone_number": "215-359-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 W 9th Ave",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061215",
            "country_code": "US",
            "telephone_number": "610-992-9900",
            "fax_number": "610-992-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROVA",
        "first_name": "ANIA",
        "middle_name": "SYLVIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Petiet
• Serguei Petouhov
• Danielle Petrillo
• Petrosky Chiropractic & Rehabilitation, LLC
• Michael R Petrosky, DC
• Katelyn Petruzzi
• Bridget Pettit
• Pharmacy of Newtown LLC
• Daniel Joseph Pichola
• Adriana Mayli Pillot, PT, DPT

• Behavior Analyst in Newtown, PA
• Providers in Newtown, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.