Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Polansky

Individual provider Behavior Technician · NPI 1629634662

Derek Polansky is a Behavior Technician in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

12758 Cimarron Path Ste 127
San Antonio, TX 78249-3498
Phone: (855) 374-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7856 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1629634662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2019
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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