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1629634662
DEREK POLANSKY
SAN ANTONIO, TX
NPI
1629634662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 7856)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-05-15
Last Update Date
2024-12-09
Business Address
DEREK POLANSKY
12758 CIMARRON PATH STE 127
SAN ANTONIO, TX 78249-3498
Phone number: 855-374-4900
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Mailing Address
DEREK POLANSKY
5602 PRESIDIO PKWY APT 2213
SAN ANTONIO, TX 78249-3097
Phone number: 361-834-3003
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