Mary Ann Polish
Individual provider Active NPI Behavior Technician · Deeth, NV
NPI 1003513573 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1003513573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- No Address
Deeth, NV 89823 - Phone
- (775) 340-8580
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Johnson Bcba | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
No Address
Deeth, NV 89823
Mailing address
PO Box 57
Deeth, NV 89823-0057
Phone (775) 340-8580
Other providers in Deeth, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.