Provider Demographics
NPI:1932655867
Name:DELGADO, MARICE
Entity Type:Individual
Prefix:
First Name:MARICE
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 SW 228TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1989
Mailing Address - Country:US
Mailing Address - Phone:786-740-3133
Mailing Address - Fax:
Practice Address - Street 1:11011 SW 88TH ST
Practice Address - Street 2:APT F309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1242
Practice Address - Country:US
Practice Address - Phone:786-740-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FLBCBA12043616103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician