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Deactivated NPI 1063054526 Deactivated / Inactive NPI Female Practitioner

Kaele Polzin

Assistant Behavior Analyst • Waterford, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kaele Polzin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2019
NPI Deactivation Date July 29, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Kaele Polzin was a registered Assistant Behavior Analyst practicing in Waterford, MI. Throughout an active medical career spanning 2 years, Kaele Polzin provided care at the practice location at 955 CAMPUS DR N until profile deactivation on 2021-07-29.

Practice Location & Contact Primary Location

Practice Address

955 Campus Dr N

Waterford, MI 483282754

Telephone 2484756300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Waterford, MI

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

Practicing in Waterford, 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

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

40 Associated Practitioners
Jess Auch , LMSW

Social Worker - Clinical

NPI 1003299363

Licensed Master Social Worker

Elisabeth Church

Case Manager/Care Coordinator

NPI 1003606757
NPI 1013488055

Licensed Master Social Worker

Melissa Serra , LMSW

Social Worker - Clinical

NPI 1023364635

Licensed Master Social Worker

Sierra Logan

Case Manager/Care Coordinator

NPI 1033970264
Teqwazha Terry

Case Manager/Care Coordinator

NPI 1043155872

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 29, 2021

Record deactivated on July 29, 2021

NPI Profile Active October 16, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 16, 2019

Registered at 955 CAMPUS DR N, WATERFORD, MI 483282754 (Tel: 2484756300)

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Updated Business Mailing Address October 16, 2019

Registered at 2816 DAVISON AVE, AUBURN HILLS, MI 483262030 (Tel: 5862481868)

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Provider Name / Credentials Updated October 16, 2019

Recorded as KAELE POLZIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2019

Assistant Behavior Analyst

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Initial NPI Registration & Enumeration October 16, 2019

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: 1063054526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2019
Last Update: October 16, 2019
Deactivation Date: July 29, 2021

Mailing Address

2816 Davison Ave

Auburn Hills, MI 483262030

Phone: 5862481868

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.