Healthcare Provider Details

I. General information

NPI: 1750950234
Provider Name (Legal Business Name): DELANEY MICHELLE SANDLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 LAKEPOINTE DR
SAVANNAH GA
31407-3551
US

IV. Provider business mailing address

168 LAKEPOINTE DR
SAVANNAH GA
31407-3551
US

V. Phone/Fax

Practice location:
  • Phone: 765-507-0350
  • Fax: 158-554-0316
Mailing address:
  • Phone: 765-507-0350
  • Fax: 158-554-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-71123
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: