Kenneth Pollok, BCBA, LBA, TLLP is a
Behavior Analyst based in Lansing, Michigan. Kenneth Pollok is licensed to practice in Michigan (license number 7401002449) and his current practice location is
4285 Development Dr, Lansing, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 706-0421.
NPI number for Kenneth Pollok is 1417432881 and his current mailing address is 1525 Ridgewood Dr, Midland, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417432881.
Healthcare Provider's Profile
| Full Name | Kenneth Pollok |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Analyst |
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| Location | 4285 Development Dr, Lansing, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417432881
- Provider Enumeration Date: 10/01/2018
- Last Update Date: 04/14/2025
Medical Identifiers
Medical identifiers for Kenneth Pollok such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417432881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6362009871 (Michigan) | Secondary |
| 103K00000X | Behavior Analyst | 7401002449 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Pollok is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Pollok, BCBA, LBA, TLLP
1525 Ridgewood Dr,
Midland, MI 48642-6425
Ph: (989) 835-6333 | Kenneth Pollok, BCBA, LBA, TLLP
4285 Development Dr,
Lansing, MI 48911-4213
Ph: (517) 706-0421 |
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