Healthcare Provider Details

I. General information

NPI: 1275345944
Provider Name (Legal Business Name): ANNAMARIE FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 ALBRIGHT RD
KOKOMO IN
46902-3996
US

IV. Provider business mailing address

922 WILDWOOD DR
KOKOMO IN
46901-1820
US

V. Phone/Fax

Practice location:
  • Phone: 765-438-8515
  • Fax:
Mailing address:
  • Phone: 816-584-5553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: