Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104707975 Individual Practitioner Female Practitioner

Jessica Polen

Assistant Behavior Analyst • Saint Johns, MI

Professional Overview & Biography Verified Profile Summary

Jessica Polen is a registered healthcare professional specializing in Assistant Behavior Analyst in Saint Johns, MI. Practice services are available at 1505 WATERFORD PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1505 Waterford Pkwy

Saint Johns, MI 488799630

Telephone 9892923572
Associated Practice Facility / Clinic
🏢 Anthony Marl Do Pllc Facility NPI 1396751061

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Saint Johns, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Johns, MI (321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Kailey Gimmey

Counselor

NPI 1003735309
Leah Smith

Psychologist

NPI 1033094487
Noele Lucius , LLMSW

Social Worker - Clinical

NPI 1043934805

Limited Licensed Master Social Worker

Robin Padilla

Counselor - Mental Health

NPI 1053977470
NPI 1174499206
Hannah Frazier , LLMSW

Social Worker - Clinical

NPI 1215638200

Limited Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2025

Registered at 1505 WATERFORD PKWY, SAINT JOHNS, MI 488799630 (Tel: 9892923572)

📍
Updated Business Mailing Address September 09, 2025

Registered at 1505 WATERFORD PKWY, SAINT JOHNS, MI 488799630 (Tel: 9892923572)

👤
Provider Name / Credentials Updated September 09, 2025

Recorded as JESSICA POLEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2025

Assistant Behavior Analyst

🟢
Initial NPI Registration & Enumeration September 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104707975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2025
Last Update: September 09, 2025
Sole Proprietor: No

Mailing Address

1505 Waterford Pkwy

Saint Johns, MI 488799630

Phone: 9892923572

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.