IVYANNE BROCK RBT
NPI 1104623883
Behavior Technician in Watkinsville, GA

Active since February 28, 2025
1272 VIRGIL LANGFORD RD STE 101, WATKINSVILLE, GA 30677(706) 449-0273(317) 520-8200 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivyanne Brock Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVYANNE BROCK RBT (NPI 1104623883) is an individual behavior technician in Watkinsville, Georgia, licensed in Georgia (RBT-24-359879) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1104623883
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameIVYANNE BROCKCredential: RBT
Location Address1272 VIRGIL LANGFORD RD STE 101Watkinsville, GA 30677-7245
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
NPI 1104623883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in GA · RBT-24-359879
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1272 VIRGIL LANGFORD RD STE 101, Watkinsville, GA 30677

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Analyst
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677
Behavior Technician
1272 VIRGIL LANGFORD RD STE 101
WATKINSVILLE, GA 30677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivyanne Brock's NPI number?

The NPI number for Ivyanne Brock is 1104623883. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Ivyanne Brock located?

Ivyanne Brock practices at 1272 Virgil Langford Rd Ste 101, Watkinsville, GA 30677. The listed phone number is (706) 449-0273.

What is Ivyanne Brock's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ivyanne Brock was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.