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

Michael Lawrence Polizzi

Individual provider Behavior Technician · NPI 1104578681

Michael Lawrence Polizzi is a Behavior Technician in Fairport, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

6 N Main St Ste 110
Fairport, NY 14450-1581
Phone: (585) 377-6590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 287389830 (NY)

Record details

NPI number1104578681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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