Provider Demographics
NPI:1821748120
Name:DELGADO, ERICA JULIA (BCBA, LBA-CT)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:JULIA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:BCBA, LBA-CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 SUNNYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-4027
Mailing Address - Country:US
Mailing Address - Phone:860-259-7269
Mailing Address - Fax:
Practice Address - Street 1:27 SUNNYRIDGE RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-4027
Practice Address - Country:US
Practice Address - Phone:860-259-7269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1434103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst