Provider Demographics
NPI:1790415230
Name:MCDONOUGH, DELANEY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:MCDONOUGH
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:MR
Other - First Name:LANE
Other - Middle Name:
Other - Last Name:MCDONOUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:231 MEETING HOUSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:NH
Mailing Address - Zip Code:03048-4118
Mailing Address - Country:US
Mailing Address - Phone:518-641-9449
Mailing Address - Fax:
Practice Address - Street 1:1 VERNEY DR
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03047-5000
Practice Address - Country:US
Practice Address - Phone:518-641-9449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst