Individual provider · Type 1 NPI

Jessica Polen

Assistant Behavior Analyst · St. Johns, MI

NPI number 1104707975 Active

Practice location

1505 Waterford Pkwy
St. Johns, MI 48879-9630

Call (989) 292-3572 Map

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

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 …

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About NPI 1104707975

Jessica Polen's National Provider Identifier is 1104707975, issued on Sep 9, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in St. Johns, MI. The record was last updated on Sep 9, 2025.