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

Kanisha Polk

Individual provider Behavior Technician · NPI 1972352375

Kanisha Polk is a Behavior Technician in Mansfield, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
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Practice location Address checks out

201 Regency Pkwy
Mansfield, TX 76063-5638
Phone: (682) 400-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-347877 (TX)

Record details

NPI number1972352375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address201 Regency Pkwy, Mansfield, TX 76063-5638

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