Individual provider Active NPI

Keyla Marlene Delgado

  • Behavior Technician
  • Jurupa Valley, CA
National Provider Identifier
1104738731
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
U0667108 Issued in NU
Practice address
5781 36TH St
Jurupa Valley, CA 92509-4309
Phone
(951) 544-6217
Fax
(951) 544-6217
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X U0667108 NU Primary

Addresses

Primary practice location

5781 36TH St
Jurupa Valley, CA 92509-4309

Mailing address

5781 36TH St
Jurupa Valley, CA 92509-4309
Phone (951) 544-6217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1104738731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5781 36TH ST",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925094309",
            "telephone_number": "951-544-6217",
            "fax_number": "951-544-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5781 36TH ST",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925094309",
            "telephone_number": "951-544-6217",
            "fax_number": "951-544-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "KEYLA",
        "middle_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "U0667108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.