Provider Demographics
NPI:1962849125
Name:POLICK, AMY S (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:POLICK
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4750 COLLEGIATE DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-1000
Mailing Address - Country:US
Mailing Address - Phone:850-770-2252
Mailing Address - Fax:850-770-2083
Practice Address - Street 1:4750 COLLEGIATE DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-1000
Practice Address - Country:US
Practice Address - Phone:850-770-2241
Practice Address - Fax:850-770-2083
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst