Provider Demographics
NPI:1821581752
Name:DELGADO, NAISHA (BCBA)
Entity Type:Individual
Prefix:
First Name:NAISHA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 BLUE CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-8133
Mailing Address - Country:US
Mailing Address - Phone:603-247-0957
Mailing Address - Fax:
Practice Address - Street 1:1203 W HIGHWAY 50 STE A
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2080
Practice Address - Country:US
Practice Address - Phone:352-835-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst