Healthcare Provider Details

I. General information

NPI: 1528297280
Provider Name (Legal Business Name): ROXANA D. BLOCH BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROXANA D. BLOCH FERREIRA

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 LIGHTHOUSE AVE APT 1
MONTEREY CA
93940-1764
US

IV. Provider business mailing address

191 LIGHTHOUSE AVE APT 1
MONTEREY CA
93940-1764
US

V. Phone/Fax

Practice location:
  • Phone: 831-869-8666
  • Fax: 831-281-3636
Mailing address:
  • Phone: 818-602-8703
  • Fax: 831-869-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-63436
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: