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NPI Code Detail

MEDICARE: DANIELA DELGADO

MEDICARE: DANIELA 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720600828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA DELGADO
Provider Business Mailing Address
First Line : 1321 MURFREESBORO PIKE STE 702
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-2679
Country : US
Telephone Number : 844-359-7629
Fax Number : 615-577-5654
Provider Business Practice Location Address
First Line : 4515 SPRUILL AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-4764
Country : US
Telephone Number : 843-352-7049
Fax Number : 615-577-5654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 05/12/2020

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Directions to “ DANIELA DELGADO ” Practice Location

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