Michaela B Pollock

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L75 Issued in ND

Practice address

816 W Midway Dr
Grafton, ND 58237-7501

Phone

(701) 352-4444

NPI assigned

Jan 8, 2020

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1972143832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W MIDWAY DR",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582377501",
            "telephone_number": "701-352-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W MIDWAY DR",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582377501",
            "telephone_number": "701-352-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Perham",
            "state": "MN",
            "postal_code": "565731152",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014348",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4725 Amber Valley Pkwy S Ste B",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048614",
            "country_code": "US",
            "telephone_number": "701-478-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "MICHAELA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SD",
            "license": "061-ABA",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-19-40300",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ND",
            "license": "L75",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Allen Pavlicek, MS
• McKayla Petersen, PT, DPT
• Jordan Marie Peterson, PHARMD
• Gabrielle A Pfingsten, M.S.,CF-SLP
• Mikayla Beth Phelps, PHARMD
• Anne Presteng, MS.CCC-SLP
• Lindsay Adair Presteng, FNP-BC
• Pamela Jean Quinn, LAC
• Quinndui/Mip/Counseling
• Ashra Shyanne Rangel

• Behavior Analyst in Grafton, ND
• Providers in Grafton, ND by specialty
• Behavior Analyst in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.