Erin Mock

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH005278 Issued in PA

Practice address

10501 Drummond Rd
Philadelphia, PA 19154-3807

Phone

(215) 613-1000

NPI assigned

May 25, 2021

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

State licenses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1568037281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523003",
            "telephone_number": "215-964-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 DRUMMOND RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543807",
            "telephone_number": "215-613-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8134 Revere St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523003",
            "country_code": "US",
            "telephone_number": "215-964-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "BH005278",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta C Mobly, CRNP
• Ben Hur Patricio Mobo Jr., MD
• Mochadrake Solutions LLC
• Eugene Mochan, DO
• Alyssa Mocion, DNP, CRNP
• James E Mock, MA
• Modacare Home Care Agency LLC
• Anurag Modak, MD
• Heather J Moday, M.D.
• Modern Dentistry and Cosmetology Center

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.