Individual
ADLY COLLADO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S DIXON RD, KOKOMO, IN 46902-2997
(863) 368-9294
Mailing address
2900 S DIXON RD, KOKOMO, IN 46902-2997
(863) 368-9294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-26-539892
BACB
IN
Enumeration date
05/26/2026
Last updated
05/26/2026
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