DYLAN SKYE POLASKO (NPI# 1528510328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528510328 |
| Entity Type | Individual |
| Full Name | DYLAN SKYE POLASKO |
| Credential | B.C.B.A |
| Practice Address |
2221 E 4th St #101 Troy MI 48083 |
| Mailing Address |
385 Columbus Dr #101 Ann Arbor MI 48103-2776 |
| Practice Telephone | 2485440360 |
| Mailing Telephone | 7028079626 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-23881 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2221 E 4TH ST #101 |
| City | TROY |
| State | MI |
| Zip Code | 48083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| 1104102227 | Jerry Keith Oermann | Psychologist | 2221 Livernois Rd., Ste. 101, Troy, MI 48083 | 2011-11-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976353 | Modern Autism Group, LLC | Behavioral Analyst | 3250 W Big Beaver Rd Ste 312-a, Troy, MI 48084-2900 | 2018-03-19 |
| 1598170698 | Nancy Bradley | Behavioral Analyst | 1555 Hawk Cir Apt A, Troy, OH 45373-4720 | 2014-06-26 |
| 1184034233 | Amy O'brien | Behavioral Analyst | 3929 Ruthland Dr, Troy, MI 48084-1727 | 2014-04-29 |
| 1710226410 | Gabrielle Tsai Lee | Behavioral Analyst | 5528 Whitfield Dr, Troy, MI 48098-5102 | 2013-01-31 |
| 1346584117 | Elizabeth Jane Speer | Behavioral Analyst | 55 Park Dr, Troy, MI 48083-2739 | 2012-11-19 |
| 1609425891 | Sarah Ellen Reeves | Behavioral Analyst | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-09-10 |
| 1881242709 | Comprehensive Early Autism Services | Behavioral Analyst | 5877 Livernois Rd, Troy, MI 48098-3100 | 2019-09-04 |
| 1912550187 | Karoline Kenville | Behavioral Analyst | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2019-07-17 |
| 1093229049 | Kathryn Castiglione | Behavioral Analyst | 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 | 2017-11-29 |
| 1982123634 | Shayna M Bedy | Behavioral Analyst | 1800 W Big Beaver Rd, Troy, MI 48084-3545 | 2017-09-13 |
| Find all providers in TROY | ||||
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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.