Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jessica Beth Brock, MS

Individual provider Early Intervention Provider Agency · NPI 1356909360

Mrs. Jessica Beth Brock, MS is an Early Intervention Provider Agency in East Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

42 Gwendolyn Pl
East Islip, NY 11730-3220
Phone: (631) 525-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (NY)

Record details

NPI number1356909360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 4, 2019