Samuel Pohlenz
Behavior Technician in Gainesville, FL. Individual provider (NPI-1).
NPI number1003452145
StatusActive
Last updated in NPPESAug 9, 2021
Details
- NPI
- 1003452145
- Entity type
- Individual (NPI-1)
- Name
- Samuel Pohlenz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2019
- Certification date
- Aug 9, 2021
- Last updated
- Aug 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
250 Nw 76th DrGainesville, FL 32607-6668
Phone 352-505-6363
Mailing address
250 Nw 76th DrGainesville, FL 32607-6668
Phone 352-336-5368
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,083 Behavior Technician providers in Gainesville · All 16,207 providers in Gainesville
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