NPI 1104409077 · live from the CMS NPI Registry
Berkley Laurel Brock
Behavior Analyst in Mobile, AL. National Provider Identifier 1104409077, active.
NPI record
| NPI | 1104409077 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7125 Hitt Rd, Mobile, AL 36695 |
| Practice phone | 251-422-1827 |
| Mailing address | 1059 Westbury Dr, Mobile, AL 36609 |
| Enumerated | April 29, 2021 |
| Last updated | April 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.