MS. MERCEDES LYNN POLK (NPI# 1073079208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073079208 |
| Entity Type | Individual |
| Full Name | MS. MERCEDES LYNN POLK |
| Other Name | MS. MERCEDES LYNN POLK |
| Credential | MERCEDES |
| Practice Address |
2621 Royal Street North Las Vegas NV 89030 |
| Practice Telephone | 7026014005 |
| Mailing Telephone | 7026014005 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NV | Behavioral Health & Social Service Providers | |
| Y | 106S00000X | Behavior Technician | NV | Behavioral Health & Social Service Providers |
| Street Address |
2621 ROYAL STREET |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1750982542 | Claudia Ayala | Behavior Technician | 3633 Lakeside Villas Ave, North Las Vegas, NV 89081-4051 | 2020-11-06 |
| 1194326058 | Funxional Solutions | Behavior Technician | 926 Dawn Valley Dr, North Las Vegas, NV 89031-6608 | 2020-11-05 |
| 1093313611 | Shelley Osorio | Behavior Technician | 6445 Chatterer St, North Las Vegas, NV 89084-2820 | 2020-10-15 |
| 1609483809 | Shytazia Ariel Gantt | Behavior Technician | 140 E Rome Blvd # 109813, North Las Vegas, NV 89084-1417 | 2020-09-30 |
| 1811502719 | Alexie Taliulu | Behavior Technician | 3850 W Ann Rd., Ste 120, North Las Vegas, NV 89031-4407 | 2020-09-09 |
| 1245843754 | Tamara Garcia | Behavior Technician | 2125 N Las Vegas Blvd Apt 2009, North Las Vegas, NV 89030-5892 | 2020-08-25 |
| 1194340810 | Lanessa Shirley | Behavior Technician | 3850 W Ann Rd, Ste 120, North Las Vegas, NV 89031-4407 | 2020-06-09 |
| 1912531310 | Jasmine Sharnise Swanson | Behavior Technician | 3532 Tertulia Ave, North Las Vegas, NV 89081-6761 | 2020-02-25 |
| 1043843642 | Patricia Nicole Stewart | Behavior Technician | 4229 Telstar Ct, North Las Vegas, NV 89032-0742 | 2020-02-21 |
| 1528698164 | Amanda Mirkovich | Behavior Technician | 1017 Christopher View Ave, North Las Vegas, NV 89032-0261 | 2020-01-23 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on MS. MERCEDES LYNN POLK.
| 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.