Active NPI
Anne Brock, BCBA
- Behavior Analyst
- Dover, NH
National Provider Identifier
1780072207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2501-MH-BI
- Practice address
- 100 Main St
Dover, NH 03820-3882 - Phone
- (603) 812-5521
- NPI assigned
- Jan 6, 2015
- 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 Analyst | 103K00000X | 2501-MH-BI | MA | Primary |
Addresses
Primary practice location
100 Main St
Dover, NH 03820-3882
Mailing address
100 Main St
Dover, NH 03820-3882
Phone (603) 812-5521
Other practice location 1
373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone (877) 315-8080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Teams | Direct |
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 |
|---|---|---|---|
| 2501-MH-BI | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Reinforcement Behavior Therapy, Inc | Behavior Analyst | Past | Accepting new patients |
| Positive Reinforcement ABA Therapy Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Manchester, NH
- NPI 1073959128
Behavior Analyst
-
- Behavior Analyst
- Manchester, NH
- NPI 1801425699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1780072207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "DOVER",
"state": "NH",
"postal_code": "038203882",
"telephone_number": "603-812-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "DOVER",
"state": "NH",
"postal_code": "038203882",
"telephone_number": "603-812-5521"
}
],
"practiceLocations": [
{
"address_1": "373 S Willow St Ste 266",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031035751",
"country_code": "US",
"telephone_number": "877-315-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCK",
"first_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2501-MH-BI",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Teams",
"affiliation": "N",
"endpointDescription": "Direct Messaging App",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Main St",
"city": "Dover",
"state": "NH",
"country_code": "US",
"postal_code": "038203882",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.