NPI 1972143832 · live from the CMS NPI Registry
Michaela B Pollock
Behavior Analyst in Grafton, ND. National Provider Identifier 1972143832, active.
NPI record
| NPI | 1972143832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 816 W Midway Dr, Grafton, ND 58237 |
| Practice phone | 701-352-4444 |
| Enumerated | January 8, 2020 |
| Last updated | March 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst | 103K00000X | 061-ABA (SD) |
| Behavior Analyst | 103K00000X | 1-19-40300 (MN) |
| Behavior Analyst primary | 103K00000X | L75 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.