Daylee Brock, BCBA, LBA, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0295 Issued in NV

Practice address

2440 Vassar St
Ste. 3
Reno, NV 89502-3453

Phone

(775) 448-6533

Fax

(775) 787-2751

NPI assigned

Feb 23, 2017

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 2

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1932648946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 VASSAR ST",
            "address_2": "STE. 3",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023453",
            "telephone_number": "775-448-6533",
            "fax_number": "775-787-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 VASSAR ST",
            "address_2": "STE. 3",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023453",
            "telephone_number": "775-448-6533",
            "fax_number": "775-787-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DAYLEE",
        "credential": "BCBA, LBA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-15-11176",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST-STATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS",
            "identifier": "0295",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1-19-39827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Alexandra Brizuela
• Carlo Brizzolara, M.D.
• Barry Duane Broadhead, D.D.S
• Mark Broadhead, M.D.
• David Whitfield Brock, D.O.
• Elika Brock, DOT
• Lauren Brockett
• Mary Brockhage
• Kurt Jeffrey Brockman, DDS
• Katy Brockway, LMFT, LCADC

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.