Provider Demographics
NPI:1265940555
Name:DELGADO-GONZALEZ, KRISTEL (BCBA)
Entity type:Individual
Prefix:
First Name:KRISTEL
Middle Name:
Last Name:DELGADO-GONZALEZ
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 1:2302 OMAHA DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2084
Mailing Address - Country:US
Mailing Address - Phone:254-285-1194
Mailing Address - Fax:
Practice Address - Street 1:2302 OMAHA DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2084
Practice Address - Country:US
Practice Address - Phone:254-285-1194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-20
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8699106E00000X
TXRBT-16-13994106S00000X
TX1-20-42957103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician