Taylor Polcar

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39121 Issued in CA

Practice address

1200 Concord Ave Ste 100
Concord, CA 94520-4969

Phone

(510) 832-4383

NPI assigned

Mar 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Taylor Kollo Former name

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1922503879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204969",
            "telephone_number": "510-832-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204969",
            "telephone_number": "510-832-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131827",
            "country_code": "US",
            "telephone_number": "866-227-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Kings Canyon Way",
            "address_purpose": "LOCATION",
            "city": "Oakley",
            "state": "CA",
            "postal_code": "945615228",
            "country_code": "US",
            "telephone_number": "925-813-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLCAR",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-39121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KOLLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Pohl
• Samantha Dee Pohl
• Alan Fabian Polanco
• Erik Polanco
• Yvreanna Lexus Polanco
• Melina M Polit Dillon
• Steven Polivka
• Jeff W Pollock
• Emma D Polonsky
• Hannah Polshuk

• Behavior Analyst in Concord, CA
• Providers in Concord, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.