Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BROCK, BCBA
Active Sole ProprietorKELLY BROCK, BCBA is a Behavior Analyst healthcare provider located in QUEENSBURY, New York. NPI 1730531047 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · QUEENSBURY, NY
Registration Details
- NPI Number
- 1730531047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2016 (10.053740365503 yrs)
- Last Updated
- Feb 19, 2020
- License
-
000993-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 REVERE RDQUEENSBURY, NY, 128048044Browse NY providers · Browse ZIP 12804
- Phone
- 5186053146
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in QUEENSBURY, NY
| Name | Credential | NPI |
|---|---|---|
| JUSTIN D'AMBROSIO | BCBA, NYS-LBA | 1891123865 |
| LAURA DELAY | — | 1376219238 |
| MRS. KARA A SEATON | LBA, BCBA | 1386381036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.