Brock Van Dyke

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-26-517443 Issued in WA

Practice address

5919 100TH St SW # 2
Lakewood, WA 98499-2731

Phone

(855) 223-7123

Fax

(619) 374-7134

NPI assigned

Nov 5, 2020

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Male

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

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.

• Aces 2020, LLC

  • Community/Behavioral Health Agency
  • Queen Creek, AZ
  • NPI 1679489397
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1609477561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740780",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740780",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 100TH ST SW # 2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992731",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10015 Lakewood Dr SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993838",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984442600",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "BROCK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-26-517443",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CBT.CB.70095888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Hospital American Lake
• Ruth Vailencour
• Michelle Valdez, CCC-SLP
• Rachael Migita Valente, DPT
• James Van Dusen
• Veronica June Capitelli Van Essche, MA, LMFT
• Joanne Tu-Ozo Van Kirk, AA
• Paula G. Van Pul, M.A.
• Pamela Kay Vandenberg, L.M.P.
• Vascular Surgery NW PS

• Behavior Technician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.