Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-12375 | FL |
N | 106S00000X | Behavior Technician | RBT-19-86456 | FL |
NPI | 1093356347 |
---|---|
Provider Name | Neftali Delgado-Hernandez |
First Address | Stuart, FL 34997-7462 |
Second Address | Orlando, FL 32814-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2019 |
Last Update Date | 20/08/2021 |