Active NPI
Jodi Lynn Frock, RBT-18-61871
- Behavior Technician
- Emmitsburg, MD
National Provider Identifier
1174001028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-61871
- Practice address
- 343 S Seton Ave
Emmitsburg, MD 21727-9226 - Phone
- (301) 447-5090
- Fax
- (301) 447-5870
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-61871 | MS | Primary |
Addresses
Primary practice location
343 S Seton Ave
Emmitsburg, MD 21727-9226
Mailing address
16300 Old Emmitsburg Rd
Emmitsburg, MD 21727-7702
Phone (301) 447-5090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-61871 | MS | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Peak Center for ABA at Mount St. Mary'S University | Behavior Technician | Current | Accepting new patients |
Locations
16300 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (301) 447-5386
343 S Seton Ave
Emmitsburg, MD 21727
Phone (301) 447-5090
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Emmitsburg, MD
- NPI 1023876497
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1174001028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16300 OLD EMMITSBURG RD",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217277702",
"telephone_number": "301-447-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S SETON AVE",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217279226",
"telephone_number": "301-447-5090",
"fax_number": "301-447-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "JODI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RBT-18-61871",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MS",
"license": "RBT-18-61871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emmitsburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.