Provider Demographics
NPI:1700662418
Name:DELANEY, CHIKOSIA LACOLE
Entity Type:Individual
Prefix:
First Name:CHIKOSIA
Middle Name:LACOLE
Last Name:DELANEY
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 1:1955 BELLS FERRY RD APT 3325
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-7009
Mailing Address - Country:US
Mailing Address - Phone:770-670-3068
Mailing Address - Fax:
Practice Address - Street 1:1955 BELLS FERRY RD APT 3325
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-7009
Practice Address - Country:US
Practice Address - Phone:770-670-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician