MEDICARE: DELANEY E SLATE 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		TX

General Provider Information

NPI Number	:	1982478186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY E SLATE BCBA

Provider Business Mailing Address
First Line	:	8821 DAVIS BLVD STE 100
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8821 DAVIS BLVD STE 100
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-0329
Country	:	US
Telephone Number	:	855-444-5664
Fax Number	:

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

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	04/14/2026

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Directions to “ DELANEY E SLATE BCBA” Practice Location

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