Maia Lee Polis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

807 Harrier PL
Davis, CA 95616-0173

Phone

(530) 400-4713

NPI assigned

Mar 3, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1265067938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 HARRIER PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160173",
            "telephone_number": "530-400-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HARRIER PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160173",
            "telephone_number": "530-400-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIS",
        "first_name": "MAIA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUTTER HEALTH PLUS",
            "identifier": "M00277833-03",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catelyn Pleake
• Jerry L Plummer, DSW, BCD
• Bonita Poe
• Tyler Poland, D.C.
• Helen Joy Policar, PH.D.
• Bradley H. Pollock, PHD, MPH
• Buster Porter, DPT
• Scott McIntosh Porter, M.D.
• David Posner, MD
• Susanne M Powell, M.D.

• Behavior Technician in Davis, CA
• Providers in Davis, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.