Individual
DESTINY ANN BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S ANKENY BLVD STE 111, ANKENY, IA 50023-9417
(515) 598-7200
Mailing address
812 E 6TH ST N, NEWTON, IA 50208-2126
(715) 566-3238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-469057
IA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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