ELIZABETH BROCK (NPI# 1760876643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760876643 |
| Entity Type | Individual |
| Full Name | ELIZABETH BROCK |
| Credential | BCABA |
| Practice Address |
9153 W 133rd St Overland Park KS 66213-4333 |
| Mailing Address |
10330 Hickman Mills Dr Building II Kansas City MO 64137-1618 |
| Practice Telephone | 9132575185 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-14-6336 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437192358 | Elizabeth T Brock | Nurse Practitioner | 9314 Parkwest Blvd., Suite 100, Knoxville, TN 37923-4303 | 2006-06-14 |
| 1881682599 | Elizabeth Brannen Brock | Social Worker | 335 Buckhalter Rd, Savannah, GA 31405-6111 | 2005-10-07 |
| 1649722737 | Elizabeth Danielle Brock | Occupational Therapy Assistant | 3918 Pecan Grove Rd, Rudy, AR 72952-9026 | 2016-10-25 |
| 1184178733 | Elizabeth Brock | Physical Therapist | 1305 S Gilbert Rd, Gilbert, AZ 85296-4019 | 2016-08-12 |
| 1255542809 | Elizabeth Ann Brock | Nurse Practitioner | 2855 Valmont Rd, Boulder, CO 80301-1309 | 2007-05-25 |
| 1841381795 | Elizabeth Katz Brock | Nurse Practitioner | 110 Irving St Nw, Rm 4b42, Washington, DC 20010-2976 | 2006-09-27 |
| 1437116332 | Elizabeth Brock | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2006-04-26 |
| Street Address |
9153 W 133RD ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063789766 | Kristen Kaufman | Behavioral Analyst | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2011-11-23 |
| 1346869724 | Olivia Hill | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2020-04-15 |
| 1750900148 | Alexander Markopoulos | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2020-04-15 |
| 1811516206 | Elizabeth Ritter | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2020-04-15 |
| 1477104057 | Gabrielle Ruby | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-09-24 |
| 1013564632 | Hayley Nemec | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-08-19 |
| 1902462062 | Camille Runion | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-05-14 |
| 1033772827 | Kendra Jean Shimak | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-04-17 |
| 1780147801 | Bryn Gassaway | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-04-08 |
| 1922572536 | Amber Crist | Behavior Technician | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619473550 | The Behavior Project LLC | Assistant Behavior Analyst | 9153 W 133rd St, Overland Park, KS 66213-4333 | 2018-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689108375 | Andrea Cook | Assistant Behavior Analyst | 13307 W 96th Ter, Lenexa, KS 66215-1316 | 2017-04-19 |
| 1447790852 | Katelyn Ashton | Assistant Behavior Analyst | 2944 Sw Seabrook Ave, Topeka, KS 66614-3013 | 2017-03-03 |
| 1649826645 | Griffin Williams | Assistant Behavior Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2019-08-15 |
| 1447802210 | Sawyer Blake Harmon | Assistant Behavior Analyst | 924 W 6th St, Junction City, KS 66441-3229 | 2019-07-11 |
| 1700350303 | Nora A Wilson | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2019-01-16 |
| 1942781877 | Allyson E Pavlacka | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2018-08-28 |
| 1427564558 | Alisha Antoinette Hunt | Assistant Behavior Analyst | 2715 Industrial St, Junction City, KS 66441-8398 | 2017-12-27 |
| 1174058515 | Elizabeth F Palone | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2017-04-24 |
| 1891220364 | Laura Beth Mellinger | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2017-04-21 |
| 1861927329 | Kristine Marie Ray | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.