Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurie Polen, MA, CCC-SLP, BCBA

Individual provider Behavior Analyst · NPI 1780118711

Laurie Polen, MA, CCC-SLP, BCBA is a Behavior Analyst in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

7329 Westchester
West Bloomfield, MI 48322-2874
Phone: (248) 613-9740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101004275 (MI)
Behavior Analyst Taxonomy 103K00000X · Licence 7401000516 (MI)

Record details

NPI number1780118711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , BCBA
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

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