Individual provider · Type 1 NPI

Polina Kozlova

Assistant Behavior Analyst · Canoga Park, CA

NPI number 1205658093 Active

Practice location

21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056

Call (888) 428-3223 Map

Mailing address

4221 Wilshire Blvd Ste 300A
Los Angeles, CA 90010-3537

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XRBT-25-500401
Behavior Technician 106S00000XNone 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 1205658093

Polina Kozlova's National Provider Identifier is 1205658093, issued on Oct 31, 2024. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Canoga Park, CA. The record was last updated on Dec 17, 2025.