Maci Brock

Behavior Technician · Roseburg, OR

Individual Active NPI

NPI number 1760043368

Practice location

940 NW Garden Valley Blvd Ste 104
Roseburg, OR 97471-2098
Phone
(541) 378-4104

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NPI record

NPI
1760043368
Entity type
Individual (Type 1)
Enumeration date
June 25, 2019
Last updated
June 25, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

PO Box 358
Winchester, OR 97495-0358
Phone
(541) 530-2520

About Maci Brock

Maci Brock is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 940 NW Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098. The NPI number 1760043368 was assigned on June 25, 2019 and the record was last updated on June 25, 2019.

Frequently asked questions

What is the NPI number of Maci Brock?

The NPI number is 1760043368.

What is the phone number of Maci Brock?

The phone number listed for the practice location is (541) 378-4104.

Where is Maci Brock located?

940 NW Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098.

What is the taxonomy code for Maci Brock?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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