NPI 1407797855

Amanda Lyn Polachek

Practitioner Assistant Behavior Analyst Wauwatosa, WI

Practice location

Address: 10930 W Potter Rd STE a, Wauwatosa, WI 53226-3450
Phone: (262) 200-0900
Fax: (630) 395-9198

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-26-17037 (WI)

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Registry record

NPI: 1407797855
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2026
Record last updated: 1 Apr 2026

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.