Kailyn Polk

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

600 3 Mile Rd NW Ste 200
Grand Rapids, MI 49544-1691

Phone

(855) 832-6727

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nico Polk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1750287413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3 MILE RD NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441691",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "KAILYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICO",
            "last_name": "POLK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolyn Polinice
• Kathy Polise
• Joanna M Polizzi, PA-C
• Joseph Polizzi, DO, FAAFP
• Kerry Polizzi, MD
• Amanda Pollock, BEHAVIOR TECHNICIAN
• Matthew Courtney Polovick-Moulds Jr.
• Rachael Polter, PHD
• Stephanie Pomarius, PT, DPT
• Casey Lynn Pombier

• Behavior Technician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.