Provider Demographics
NPI:1225355530
Name:POLLICK, MELISSA A (BCBA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:POLLICK
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 MARIAN DR NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-9230
Mailing Address - Country:US
Mailing Address - Phone:954-683-9898
Mailing Address - Fax:
Practice Address - Street 1:4921 MARIAN DR NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-9230
Practice Address - Country:US
Practice Address - Phone:954-683-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-14-17387103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst