Provider Demographics
NPI:1952931131
Name:TCHERNIAVSKAIA, ANNA (BCBA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TCHERNIAVSKAIA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 SAN ANDRES ST APT A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4151
Mailing Address - Country:US
Mailing Address - Phone:408-398-9954
Mailing Address - Fax:
Practice Address - Street 1:1524 SAN ANDRES ST APT A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-4151
Practice Address - Country:US
Practice Address - Phone:408-398-9954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19-39009103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst