Healthcare Provider Details

I. General information

NPI: 1639868490
Provider Name (Legal Business Name): DELANIE DYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date: 10/07/2025
Reactivation Date: 11/20/2025

III. Provider practice location address

1008 US-175 FRONTAGE RD UNIT B
CRANDALL TX
75114
US

IV. Provider business mailing address

27777 INKSTER RD STE 100
FARMINGTON HILLS MI
48334-5312
US

V. Phone/Fax

Practice location:
  • Phone: 903-880-7531
  • Fax:
Mailing address:
  • Phone: 248-436-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: