Healthcare Provider Details

I. General information

NPI: 1285560037
Provider Name (Legal Business Name): DELTA BEHAVIOR CHANGE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 LAS ROSAS AVE
CLOVIS CA
93619-8764
US

IV. Provider business mailing address

2175 LAS ROSAS AVE
CLOVIS CA
93619-8764
US

V. Phone/Fax

Practice location:
  • Phone: 559-871-6614
  • Fax:
Mailing address:
  • Phone: 559-871-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: BRYAN BUMP
Title or Position: BCBA/OWNER
Credential: BCBA
Phone: 559-871-6614