Rebecca Brock, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6711 NE 182ND St Unit D306
Kenmore, WA 98028-5006

Phone

(919) 599-4570

NPI assigned

May 11, 2017

Last updated

Dec 5, 2018By 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

Interoperability endpoints

• Direct secure messaging: rebecca.brock@direct.covenantcms.nchie.net

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.

• Balance Behavior, PLLC

  dba Balance Behavior

  • Behavior Analyst
  • Kenmore, WA
  • NPI 1811451446
  NPD Authorized official
• A New Way ABA, LLC

  • Behavior Analyst
  • Zebulon, NC
  • NPI 1073244414
  NPD Authorized official
• Designing Behavior

  • Behavior Analyst
  • Zebulon, NC
  • NPI 1730775032
  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1467989236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 NE 182ND ST UNIT D306",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980285006",
            "telephone_number": "919-599-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 NE 182ND ST UNIT D306",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980285006",
            "telephone_number": "919-599-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "REBECCA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "0-17-7638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley S. Mott, DDS, PLLC (Kenmore Smiles Family Dentistry)
• Braintalk
• Mary Brandenburg, L.M.H.C., N.C.C.
• Anjala Brewton
• William S Briggs, RPH
• Amanda Renee Bryan, PHARMD
• Caroline Budhan
• Mark Alden Funelas Bueno
• Scott Allen Buesing, N.D.
• Han Bui

• Behavior Analyst in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.