NPI 1104578681

Michael Lawrence Polizzi

Practitioner Behavior Technician Fairport, NY

Practice location

Address: 6 N Main St STE 110, Fairport, NY 14450-1581
Phone: (585) 377-6590
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 287389830 (NY)

Other Behavior Technician providers in New York →

Registry record

NPI: 1104578681
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2022
Record last updated: 25 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.