KAELE POLZIN (NPI# 1063054526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063054526 |
| Entity Type | Individual |
| Full Name | KAELE POLZIN |
| Practice Address |
955 Campus Dr N Waterford MI 48328-2754 |
| Mailing Address |
2816 Davison Ave Auburn Hills MI 48326-2030 |
| Practice Telephone | 2484756300 |
| Mailing Telephone | 5862481868 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
955 CAMPUS DR N |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194254029 | Pamela Ann Jeremias | Social Worker | 955 Campus Dr N, Waterford, MI 48328-2754 | 2017-06-05 |
| 1417557166 | Nicholas Ruddy | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-30 |
| 1417557810 | Emily Grace Maxwell | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-10-27 |
| 1730791716 | Morgan Marie Bass | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-20 |
| 1992316269 | Carolyn Meador | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1598376998 | Brianna Adler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-08-11 |
| 1255966834 | Lorren Roberts | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-03-04 |
| 1679106694 | Karissa Ritthaler | Case Manager/Care Coordinator | 955 Campus Dr N, Waterford, MI 48328-2754 | 2020-02-18 |
| 1568010486 | Ksenia Zakharova | Assistant Behavior Analyst | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-09-04 |
| 1477111367 | Erin Lazoen | Behavior Technician | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568010486 | Ksenia Zakharova | Assistant Behavior Analyst | 955 Campus Dr N, Waterford, MI 48328-2754 | 2019-09-04 |
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| 1871138107 | Ky'wana Zynise Smith | Assistant Behavior Analyst | 950 Railroad St Apt 105b, Ypsilanti, MI 48197-3510 | 2019-11-11 |
| 1295377042 | Taylor Anker | Assistant Behavior Analyst | 2919 Wilder Rd Ste 100, Bay City, MI 48706-9299 | 2019-10-14 |
| 1396395448 | Kristi Marie Pienkosz | Assistant Behavior Analyst | 43334 7 Mile Rd Ste 1000, Northville, MI 48167-2487 | 2019-09-19 |
| 1750848636 | Robin Wontorcik | Assistant Behavior Analyst | 712 E Grove St, Midland, MI 48640-5279 | 2019-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.