MEDICARE: DELANEY MICHELLE SANDLIN

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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst	1-24-71123

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-20-139144	OTHER		BACB
2	BCBA-1-24-71123	OTHER	GA	BACB

General Provider Information

NPI Number	:	1750950234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY MICHELLE SANDLIN

Provider Business Mailing Address
First Line	:	168 LAKEPOINTE DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31407-3551
Country	:	US
Telephone Number	:	765-507-0350
Fax Number	:	158-554-0316

Provider Business Practice Location Address
First Line	:	168 LAKEPOINTE DR
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31407-3551
Country	:	US
Telephone Number	:	765-507-0350
Fax Number	:	158-554-0316

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

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	05/08/2026

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Directions to “ DELANEY MICHELLE SANDLIN ” Practice Location

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