Healthcare Provider Details

I. General information

NPI: 1669318820
Provider Name (Legal Business Name): NEUROCONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
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: 831-869-8666
  • Fax: 831-281-3636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ROXANA D BLOCH
Title or Position: CLINICAL DIRECTOR
Credential: ED.D, BCBA, QBA, LBA
Phone: 818-602-8703