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Active NPI 1053191643 Individual Practitioner Female Practitioner

Alexis Jordan Brock , BCBA

Behavior Analyst • Taylor Mill, KY

Professional Overview & Biography Verified Profile Summary

Alexis Brock, BCBA is a registered healthcare professional specializing in Behavior Analyst in Taylor Mill, KY. Practice services are available at 5522 TAYLOR MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5522 Taylor Mill Rd

Taylor Mill, KY 410154604

Telephone 8593175985

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Taylor Mill, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Taylor Mill, KY (784 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 1-23-68563

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1023615960

MABA, Board Certified Behavior Analyst, Licensed Behavior Analyst

Grace Murphy

Behavior Analyst

NPI 1023888617
Anya Cosse

Behavior Analyst

NPI 1083297964
Katrina Hearld , RBT

Behavior Technician

NPI 1134827066

Registered Behavior Technician

Leila Rumer , BCBA, LBA

Behavior Analyst

NPI 1174244537

Board Certified Behavior Analyst, Licensed Behavior Analyst

Alyssa Scheid

Behavior Analyst

NPI 1255046942

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address May 29, 2026

Registered at 5261 MILLCREEK CIR, INDEPENDENCE, KY 410518610 (Tel: 8594625902)

👤
Provider Name / Credentials Updated May 29, 2026

Recorded as ALEXIS BROCK, BCBA

NPI Profile Active October 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2023

Registered at 5522 TAYLOR MILL RD, TAYLOR MILL, KY 410154604 (Tel: 8593175985)

📍
Updated Business Mailing Address October 02, 2023

Registered at 2460 FOUNTAIN PL UNIT A, LAKESIDE PARK, KY 410171652 (Tel: 8594625902)

👤
Provider Name / Credentials Updated October 02, 2023

Recorded as ALEXIS GOETTKE, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Behavior Analyst (License #1-23-68563 in KY)

🟢
Initial NPI Registration & Enumeration October 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053191643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2023
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

5261 Millcreek Cir

Independence, KY 410518610

Phone: 8594625902

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.