Tracy Mock, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4530 E Ray Rd Ste 100
Phoenix, AZ 85044-6095

Phone

(480) 608-5210

NPI assigned

Jan 29, 2019

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1841654050
  NPD (past)
• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1184188617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 S 50TH ST APT 3019",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850485022",
            "telephone_number": "630-915-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446095",
            "telephone_number": "480-608-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012246",
            "country_code": "US",
            "telephone_number": "706-780-1704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "TRACY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moc Phoenix, LLC (Rapid Recovery From Mainstreet Health)
• Mark William Mocciaro, D.C.
• Eleonora Mocevic, CCC-SLP
• Bianca Angelica Mocha, LPC
• Caitlin Mock, SLP
• Christina Gayle Mockbee, RN
• Lori Ann Mockler, LPC
• Elizabeth Ann Moczydlowski, OTRL
• Lael Cathleen Mode, MD
• Modern Dental Professionals - Arizona PC (Brightnow Dental Phoenix-Camelback)

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.