MR. MATTHEW COURTNEY POLOVICK-MOULDS JR.
NPI 1043886690
Behavior Technician in Grand Rapids, MI

Active since June 02, 2021
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506(855) 832-6727 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Matthew Courtney Polovick-moulds Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW COURTNEY POLOVICK-MOULDS JR. (NPI 1043886690) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1043886690
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. MATTHEW COURTNEY POLOVICK-MOULDS JR.
Location Address2814 WOODCLIFF CIR SEGrand Rapids, MI 49506-3155
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Sole ProprietorNo
Enumeration DateJune 2, 2021
Last NPPES UpdateJune 4, 2021
NPPES CertifiedJune 4, 2021
NPI 1043886690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Also ListedTechnician, OtherTaxonomy 247200000X
2814 WOODCLIFF CIR SE, Grand Rapids, MI 49506

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Polovick-moulds's NPI number?

The NPI number for Matthew Polovick-moulds is 1043886690. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Matthew Polovick-moulds located?

Matthew Polovick-moulds practices at 2814 Woodcliff Cir SE, Grand Rapids, MI 49506. The listed phone number is (855) 832-6727.

What is Matthew Polovick-moulds's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Matthew Polovick-moulds was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.