Kourtnie Polanco
Behavior Technician in Santa Fe, NM. Individual provider (NPI-1).
NPI number1669904751
StatusActive
Last updated in NPPESAug 1, 2017
Details
- NPI
- 1669904751
- Entity type
- Individual (NPI-1)
- Name
- Kourtnie Polanco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2017
- Last updated
- Aug 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1010 Marquez PlUnit D
Santa Fe, NM 87505-1693
Phone 505-501-8485
Mailing address
21600 Oxnard StSuite 1800
Woodland Hills, CA 91367-4976
Phone 818-345-2345 · Fax 818-758-8015
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All 334 Behavior Technician providers in Santa Fe · All 5,869 providers in Santa Fe
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