Melissa Mock

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001454 Issued in VA

Practice address

100 Ambush St Apt 310
Yorktown, VA 23693-5679

Phone

(631) 901-3711

NPI assigned

Jul 12, 2019

Last updated

Aug 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bright Paths Behavioral Therapy LLC

  dba Bright Paths Behavioral Therapy

  • Behavior Analyst
  • Newport News, VA
  • NPI 1528793189
  NPD Authorized official

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1841842564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AMBUSH ST APT 310",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935679",
            "telephone_number": "631-901-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMBUSH ST APT 310",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935679",
            "telephone_number": "631-901-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12727 McManus Blvd.",
            "address_2": "Suite 2G",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23602",
            "country_code": "US",
            "telephone_number": "757-846-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001454",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1528793189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael W. Bowler, D.D.S.
• Megan Miller
• Mind, Movement, and More LLC
• Karli Minnick
• Dena Michelle Mintz, DNP, FNP-C
• Carola Munoz Mohr, LPTA
• Angie Molinero
• Tenisha Renee Moore
• Morant Behavioral Wellness, Inc. (Morant Behavioral Wellness)
• Michael Peter Morgan, LPC

• Behavior Analyst in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.