MEDICARE: ADISBEL DELGADO

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
1	106S00000X	Behavior Technician	20-127513	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386394427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADISBEL DELGADO

Provider Business Mailing Address
First Line	:	4081 14TH AVE SE
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-9106
Country	:	US
Telephone Number	:	239-207-0443
Fax Number	:

Provider Business Practice Location Address
First Line	:	4081 14TH AVE SE
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-9106
Country	:	US
Telephone Number	:	239-207-0443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	03/23/2022

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Directions to “ ADISBEL DELGADO ” Practice Location

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