MEDICARE: MICHELLE DELBOVE BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	12BC00292500	NJ

General Provider Information

NPI Number	:	1730010646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DELBOVE BCBA

Provider Business Mailing Address
First Line	:	129 JORDAN RD
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-4549
Country	:	US
Telephone Number	:	201-693-5498
Fax Number	:

Provider Business Practice Location Address
First Line	:	1769 HOOPER AVE.
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753
Country	:	US
Telephone Number	:	201-693-5498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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