IndividualActive
Hannah Bolla
NPI 1376489500 · Behavior Technician · Glen Carbon, IL
Hannah Bolla is a Behavior Technician provider in Glen Carbon, IL (NPI 1376489500).
Provider details
- NPI number
- 1376489500
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
4559 Benes Ave
Glen Carbon, IL 62034-1541
Phone: (217) 525-8332
Fax: (217) 789-1420
Street-level locationGet directions
Mailing address
5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Registry dates
- Enumerated
- 2026-04-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.