Individual
KRYSTI PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3125 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(574) 387-4313
Mailing address
3125 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(574) 387-4313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71262
IN
106S00000X
Behavior Technician
RBT-20-124991
IN
Other
Enumeration date
05/27/2022
Last updated
05/01/2024
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