| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALYSSA MARIE POLANCO | 1811570450 | 2021-05-02 |
Alyssa Marie Polanco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811570450. Registration indicates Alyssa Marie Polanco is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Alyssa Marie Polanco |
| Practice Office Address | 1639 73RD ST BROOKLYN, NY US |
| Practice Office Telephone | 9293833422 |
| Mailing Address | 1639 73RD ST BROOKLYN, NY 112045123 US |
| Business Telephone | 9293833422 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |