Most Relevant Information
Provider Data
| NPI Number: | 1003531930 |
| Provider Name: | DRU VICTORIA BOATNER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 22-204131 |
Most Important Dates
| Enumeration Date: | 10/04/2022 |
| Last Updated: | 10/04/2022 |
Provider Practice Location
950 28TH AVE SW STE 2
ALTOONA
IA
500093940
Practice Location Phone/Fax
| Phone: | 5156444134 |
| Fax: |
Provider Mailing Location
950 28TH AVE SW STE 2
ALTOONA
IA
500093940
Provider Mailing Phone/Fax
| Phone: | 5635543225 |
| Fax: | 5156444134 |