Healthcare Provider Details

I. General information

NPI: 1609315050
Provider Name (Legal Business Name): DILCIA DELGADO M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DILCIA AVILES BCBA

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CAMERON AVE STE 215
WEST COVINA CA
91790-2724
US

IV. Provider business mailing address

15598 RIO BLANCO TRL
MORENO VALLEY CA
92555-4962
US

V. Phone/Fax

Practice location:
  • Phone: 323-302-9997
  • Fax: 818-736-4189
Mailing address:
  • Phone: 323-551-7596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-50066
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: