Delyani Dollbaum, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

210 S 2ND St
Clinton, MO 64735-2117

Phone

(660) 885-2394

Fax

(660) 383-1650

NPI assigned

Nov 10, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Place, LLC

  • Speech-Language Pathologist
  • Clinton, MO
  • NPI 1437819364
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1245004175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352117",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352117",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLBAUM",
        "first_name": "DELYANI",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Denny, RDH
• Rita M Desai, M.D.
• Mandi Desbien, RBT
• Dialysis Clinic Inc.
• Allison Dilley, SLPA
• Lisa Downey
• Ruth Kathleen Dugan, LPN
• Doris Ann Eagan, R.N.
• Arthur Lewis Eberting, D.C.
• Melissa Kay Edwards, LPC

• Behavior Technician in Clinton, MO
• Providers in Clinton, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.