Individual
DEREK POLANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12758 CIMARRON PATH STE 127, SAN ANTONIO, TX 78249-3498
(855) 374-4900
Mailing address
5602 PRESIDIO PKWY APT 2213, SAN ANTONIO, TX 78249-3097
(361) 834-3003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7856
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/15/2019
Last updated
12/09/2024
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