MAIA LEE POLIS


Address: 807 Harrier Pl, Davis, CA 95616-0173
Phone: 5304004713

MAIA LEE POLIS (NPI# 1265067938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265067938
Entity Type Individual
Full Name MAIA LEE POLIS
Practice Address 807 Harrier Pl
Davis
CA 95616-0173
Practice Telephone 5304004713
Mailing Telephone 5304004713
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA SUTTER HEALTH PLUS M00277833-03 01

Office Location

Street Address 807 HARRIER PL
City DAVIS
State CA
Zip Code 95616-0173

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560871 Anne-frances Ostrander Physical Therapy Assistant 397 La Rue Rd, Davis, CA 95616 2020-08-26
1487271458 Alix Peloso Mahon Behavior Technician 1212 Alvarado Ave Apt 68, Davis, CA 95616 2020-06-25
1427671882 Dhhs Ihs Cao Sacred Oaks Healing Center Substance Abuse Rehabilitation Facility 33100 County Road 31, Davis, CA 95616 2020-05-20
1871126961 Linda Marie Adams Dietitian, Registered Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 2020-02-17
1851935217 Timothy James Johnston Orthotist 635 Anderson Rd., Suite 18, Davis, CA 95616 2019-10-29
1386290716 Dakota Cool Specialist/Technologist 750 Orchard Road, Davis, CA 95616 2019-08-12
1366908618 Capitol Periodontal Group Dentist 750 F Street #5, Davis, CA 95616 2019-02-12
1831663434 Elisha Niccole Cusumano Specialist/Technologist 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 2019-01-16
1609364991 Aron Matthew Katz Psychologist One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 2018-04-23
1316463938 Arielle Pinkston Marriage & Family Therapist 203 F St, Davis, CA 95616 2017-08-15
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151397 Aidan Turner Behavior Technician 2323 Shasta Dr Apt 25, Davis, CA 95616-6613 2020-10-13
1487271458 Alix Peloso Mahon Behavior Technician 1212 Alvarado Ave Apt 68, Davis, CA 95616 2020-06-25
1871051185 Julissa Nayeli Vasquez Ramirez Behavior Technician 1333 Arlington Blvd Apt 45, Davis, CA 95616-2662 2019-03-05
1144792607 Elmer E Cruz Rodriguez Behavior Technician 2900 Portage Bay W Apt 1211, Davis, CA 95616-2803 2018-12-21
1619449469 Palladius Christian Bynum Behavior Technician 1050 Lake Blvd Apt 22, Davis, CA 95616-2647 2018-12-18
1467936385 Amanda Alexis Cortez Behavior Technician 2109 Bella Casa St, Davis, CA 95616-0715 2018-09-17
1922592211 Mengxue Sun Behavior Technician 955 Cranbrook Ct Apt 203, Davis, CA 95616-1255 2018-06-19
1427551720 Bang Phan Behavior Technician 635 Adams St, Davis, CA 95616-3250 2018-03-13
1669972584 Elliott Ames Behavior Technician 510 Arthur St Apt 215, Davis, CA 95616-3151 2018-02-16
1740788553 Morgan Lee Jenkins Behavior Technician 1947 Galileo Ct, Davis, CA 95618-4882 2018-01-26
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Competitor

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City DAVIS
Zip Code 95616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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