DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAISY POLK

Active Sole Proprietor

DAISY POLK is a Behavior Technician healthcare provider located in ROCKFORD, Illinois. NPI 1356831416 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ROCKFORD, IL

Registration Details

NPI Number
1356831416
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2018 (8.2204073619493 yrs)
Last Updated
May 15, 2018
License
17-38594 (IL)
Sole Proprietor
Yes

Practice Information

Address
2804 CONKLIN DR APT 7
ROCKFORD, IL, 611011885
Browse IL providers · Browse ZIP 61101
Phone
8159780672
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ROCKFORD, IL

Name Credential NPI
KIRA MARIE ROCHA RBT-17-34679 1831691153
KARA ANN CORTESE RBT 1235627829
LINDSEY HERRERA 1760971303
JENNIFER MARIE MIKA RBT-17-38602 1639669906
PRISCILA FLYGARE 1043700321
JAZMIN HERNANDEZ RBT 1912497975
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.