Healthcare Provider Details

I. General information

NPI: 1992628564
Provider Name (Legal Business Name): DENYCE LINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 NW 118TH ST STE 100
CLIVE IA
50325-8278
US

IV. Provider business mailing address

555 SE LAUREL ST UNIT 7
WAUKEE IA
50263-8167
US

V. Phone/Fax

Practice location:
  • Phone: 888-228-8476
  • Fax:
Mailing address:
  • Phone: 515-778-6138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: