PENINSULA SCHOOL FOR AUTISM
NPI 1477830503
Behavior Analyst in Newport News, VA

Q: What is Peninsula Academy For Autism's NPI number?

The NPI number for Peninsula Academy For Autism is 1477830503. It was assigned to this organization in the NPPES registry on November 3, 2011. The provider is doing business as Peninsula School For Autism.

Q: What is Peninsula Academy For Autism's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since November 03, 2011

12749 NETTLES DR, NEWPORT NEWS, VA 23606(757) 223-0558(757) 223-0559 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peninsula School For Autism NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA SCHOOL FOR AUTISM (NPI 1477830503) is a healthcare organization registered as a behavior analyst in Newport News, Virginia and active in the NPI registry since November 2011. The organization lists Sydney Randall Johnson Mrowiec, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477830503

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NamePENINSULA ACADEMY FOR AUTISM

Location Address12749 NETTLES DRNewport News, VA 23606-1804

Mailing Address12749 Nettles DrNewport News, VA 23606-1804 · (757) 223-0558 · Fax (757) 223-0559

Phone(757) 223-0558

Fax(757) 223-0559

Organization SubpartNo

Authorized OfficialSydney Randall Johnson MrowiecExecutive Director · (757) 223-0558

Enumeration DateNovember 3, 2011

✔ NPI 1477830503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

12749 NETTLES DR, Newport News, VA 23606

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Other Names 1

Doing Business AsPeninsula School For Autism

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Academy For Autism's NPI number?

The NPI number for Peninsula Academy For Autism is 1477830503. It was assigned to this organization in the NPPES registry on November 3, 2011. The provider is doing business as Peninsula School For Autism.

Where is Peninsula Academy For Autism located?

Peninsula Academy For Autism is located at 12749 Nettles Dr, Newport News, VA 23606. The listed phone number is (757) 223-0558.

What is Peninsula Academy For Autism's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Peninsula Academy For Autism was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.