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Individual

ADYLYNN ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3416 S DIXON RD, KOKOMO, IN 46902-5642
Mailing address
3416 S DIXON RD, KOKOMO, IN 46902-5642
(765) 480-3387

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-233886
BEHAVIOR ANALYST CERTIFICATION BOARD
IN
Enumeration date
09/08/2022
Last updated
09/08/2022
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