Individual
AMANDA LYN POLACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10930 W POTTER RD STE A, WAUWATOSA, WI 53226-3450
(262) 200-0900
(630) 395-9198
Mailing address
10930 W POTTER RD STE A, WAUWATOSA, WI 53226-3450
(262) 200-0900
(630) 395-9198
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-17037
WI
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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