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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 (5.777943126318 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.