DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACHARY EDWARD BOLLER, BS

Active

ZACHARY EDWARD BOLLER, BS is a Behavior Technician healthcare provider located in SOUTH BEND, Indiana. NPI 1669085908 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SOUTH BEND, IN

Registration Details

NPI Number
1669085908
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2020 (6.1762807889567 yrs)
Last Updated
Aug 26, 2020
License
RBT-17-32661 (IN)

Practice Information

Address
17390 DUGDALE DR STE 100
SOUTH BEND, IN, 466351512
Browse IN providers · Browse ZIP 46635
Phone
5744002169
Fax
3175208200
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SOUTH BEND, IN

Name Credential NPI
CARRIE CURTIS — 1447753801
VICTORY SEKANI MZEMBE LSW 1861968828
SANDRA EZRA — 1366908071
AMANDA R DULEY — 1558827253
CRYSTAL BOURLIER — 1255898722
ISAEL ESPINOZA ZAMARRIPA RBT 1508323098
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.