Individual
KENNETH POLLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA, TLLP
Contact information
Practice address
4285 DEVELOPMENT DR, LANSING, MI 48911-4213
(517) 706-0421
(517) 706-0423
Mailing address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
(989) 835-4920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002449
MI
103TC0700X
Clinical Psychologist
6362009871
MI
Other
Enumeration date
10/01/2018
Last updated
04/14/2025
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