Deleign Bollinger, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24721 Issued in CO

Practice address

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326

Phone

(719) 540-2108

Fax

(719) 540-2101

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4

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.

• Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Fountain, CO
  • NPI 1164807210
  NPD (past)
• Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1326615501
  NPD (past)
• Peak Potential Behavior & Wellness LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1427627819
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1316484140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-968-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "719-540-2108",
            "fax_number": "719-540-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Quail Lake Loop",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064651",
            "country_code": "US",
            "telephone_number": "719-540-2108",
            "fax_number": "719-540-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "DELEIGN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-24721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Marie Boles
• Sandra E Boley, MSW, LCSW
• Lisa Ferguson Bolin, DPT
• Breanna Bollar, PA-C
• Bethany Bollinger
• Steve Elledge Bollinger, RNFA
• Amarilees Bolorin, ATC
• Aleksandr Bolotin, DMD
• Makayla Bolster
• Lindsey Bolt, MS, OTR/L

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.