Individual
DARRYLL ANTHONY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 FLOYD ST, GARY, IN 46403-2945
(219) 308-7602
Mailing address
830 FLOYD ST, GARY, IN 46403-2945
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
9371009143
IN
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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