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NPI Code Detail

MEDICARE: ADLY COLLADO PEREZ

MEDICARE: ADLY COLLADO PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-26-539892OTHERINBACB

General Provider Information

NPI Number : 1972434389
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADLY COLLADO PEREZ
Provider Business Mailing Address
First Line : 2900 S DIXON RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2997
Country : US
Telephone Number : 863-368-9294
Fax Number :
Provider Business Practice Location Address
First Line : 2900 S DIXON RD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2997
Country : US
Telephone Number : 863-368-9294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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1194416032 — RHIANNON LOUISE MCGUIRE
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Directions to “ ADLY COLLADO PEREZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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