Healthcare Provider Details

I. General information

NPI: 1053777599
Provider Name (Legal Business Name): DELAIN RITCHEY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DELAIN DUARTE

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21805 S ELLSWORTH RD STE 100
QUEEN CREEK AZ
85142-9365
US

IV. Provider business mailing address

PO BOX 740780
ATLANTA GA
30374-0780
US

V. Phone/Fax

Practice location:
  • Phone: 855-223-7123
  • Fax:
Mailing address:
  • Phone: 855-223-7123
  • Fax: 619-374-7134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-000438
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-20896
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: