Individual provider Active NPI

Stacia D Brock, M.S., BCBA, LBA

  • Behavior Analyst
  • Murfreesboro, TN
National Provider Identifier
1003762238
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2139 Issued in TN
Practice address
268 Veterans Pkwy
Murfreesboro, TN 37128-6431
Phone
(718) 251-5311
Fax
(718) 865-5165
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2139 TN Primary

Addresses

Primary practice location

268 Veterans Pkwy
Murfreesboro, TN 37128-6431

Mailing address

PO Box 360595
Pittsburgh, PA 15251-6595
Phone (718) 215-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1003762238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360595",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516595",
            "telephone_number": "718-215-5311",
            "fax_number": "718-865-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 VETERANS PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286431",
            "telephone_number": "718-251-5311",
            "fax_number": "718-865-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "STACIA",
        "middle_name": "D",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.