Berkley Laurel Brock
Behavior Analyst in Mobile, AL. Individual provider (NPI-1).
NPI number1104409077
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1104409077
- Entity type
- Individual (NPI-1)
- Name
- Berkley Laurel Brock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Apr 29, 2021
- Last updated
- Apr 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
7125 Hitt RdMobile, AL 36695-4431
Phone 251-422-1827
Mailing address
1059 Westbury DrMobile, AL 36609-3337
Phone 205-566-5859
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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