Jenna Rose Brock, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

300329 Issued in KY

Practice address

2537 Larkin Rd
Lexington, KY 40503-3201

Phone

(859) 406-5699

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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 and National Provider Directory roles.

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  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982326724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033201",
            "telephone_number": "859-406-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 LARKIN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033201",
            "telephone_number": "859-406-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405094319",
            "country_code": "US",
            "telephone_number": "859-447-2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-22-212220",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "300329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Judith Broadus, PH. D.
• Broadway Clinic Pharmacy Inc
• Broadway Denture Center
• Broadway Family and Cosmetic Dentistry PSC
• Jennifer Brocato, ARNP
• Jonathan Scott Brock
• Kyle Brock
• Mariya Nikolaevna Brock, APRN
• Patricia Brock
• Rose Anda Brock, R.N.

• Behavior Analyst in Lexington, KY
• Providers in Lexington, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.