Provider Demographics
NPI:1609315050
Name:DELGADO, DILCIA (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:DILCIA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:DILCIA
Other - Middle Name:
Other - Last Name:AVILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15598 RIO BLANCO TRL
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-4962
Mailing Address - Country:US
Mailing Address - Phone:323-551-7596
Mailing Address - Fax:
Practice Address - Street 1:3350 SHELBY ST STE 200
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-5556
Practice Address - Country:US
Practice Address - Phone:818-208-0164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-17-41394106S00000X
1-21-50066103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician